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Larry Diediker, L.A.T
NPI 1245244615 · on the registry since 2006
Practice
- Address
- 508 Medical Center Blvd
Conroe, TX 77304 - Phone
- (936) 760-6631
- Organisation at this address
- Louis-Ricciardi Etal Ptr
Laboratory Corporation Of America
Scarborough Family Medicine, Pllc
Conroe Montgomery Physicians Group, Pllc
Family Medicine Associates Of Conroe PllcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 43
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas