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NPI Code Detail

MEDICARE: DR. LARRY STROUD D.M.D.

MEDICARE:  DR. LARRY  STROUD  D.M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry4643KY

General Provider Information

NPI Number : 1184616161
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LARRY STROUD D.M.D.
Provider Business Mailing Address
First Line : 10303 1/2 DIXIE HWY
Second Line :
City : LOUISVILLE
State : KY
Zip : 40272-3951
Country : US
Telephone Number : 502-937-4930
Fax Number : 502-937-5296
Provider Business Practice Location Address
First Line : 10303 1/2 DIXIE HWY
Second Line :
City : LOUISVILLE
State : KY
Zip : 40272-3951
Country : US
Telephone Number : 502-937-4930
Fax Number : 502-937-5296
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/16/2005
Last Update Date : 07/08/2007

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Directions to “ DR. LARRY STROUD D.M.D.” Practice Location

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