NPI 1013153758

Lawrence L Durisch, MD

Practitioner Otolaryngology Physician Gainesville, GA

Practice location

Address: 91 Overlook Dr, Gainesville, GA 30506-1767
Phone: (770) 536-9191

Registered specialties

Otolaryngology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Y00000X Licence 013267 (GA)

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Registry record

NPI: 1013153758
Entity type: Individual
Sex (as registered): Male
NPI issued: 31 Dec 2008
Record last updated: 31 Dec 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.