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Lawrence Nicholas Masullo, MD Valid NPI

Individual provider · Emergency Medicine Physician · Fort Hood, TX

NPI
1376598110
Type
Individual (Type 1)
Primary specialty
Emergency Medicine Physician (Emergency Medicine)
Specialty group
Allopathic & Osteopathic Physicians
Taxonomy code
207P00000X
License number
M3014 (TX)
Sex
Male
Sole proprietor
No
Enumerated
2006-05-23
Last updated
2023-08-07
Practice location
36065 Santa Fe Ave Bldg 36065
Fort Hood, TX 76544-5060
(254) 553-1364

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