Russo, Laura Antonia

Russo, Laura Antonia is an individual health care provider with primary practice located at 327 S K St , Tulare CA 93274-5416. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Russo, Laura Antonia can be contacted via phone (559) 688-2043.

Contact Information

Primary practice address
327 S K St Tulare CA 93274-5416
Phone: (559) 688-2043
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 85446 California
Behavioral Health & Social Service Providers / Professional 101YP2500X
Behavioral Health & Social Service Providers / Clinical 1041C0700X 113905 California

Profile Details

NPI number 1205344231
LBN Legal business name Russo, Laura Antonia
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2018
Last updated Jul 17th, 2026 - about 3 months 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.

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