Larue, Lori E
Larue, Lori E is an individual health care provider with primary practice located at 1010 N Bancroft Pkwy Suite 12, Wilmington DE 19805-2690. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as her primary health care specialty. Larue, Lori E can be contacted via phone (302) 658-1129.Contact Information
Primary practice address
1010 N Bancroft Pkwy Suite 12
Wilmington DE 19805-2690
Phone: (302) 658-1129
Fax: (302) 658-7646
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | E1-0000088 | Delaware |
Profile Details
| NPI number | 1912964446 |
|---|---|
| LBN Legal business name | Larue, Lori E |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 27th, 2006 |
| Last updated | Apr 8th, 2015 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1912964446 | NPPES |
| Delaware | MEDICAID | 0000198917 |
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