Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. MICHAEL STEPHEN LORUSSO, ATC
Active Sole ProprietorMR. MICHAEL STEPHEN LORUSSO, ATC is a Athletic Trainer healthcare provider located in PHOENIX, Maryland. NPI 1033563275 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · PHOENIX, MD
Registration Details
- NPI Number
- 1033563275
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 13, 2016 (10.322696425811 yrs)
- Last Updated
- Apr 27, 2017
- Sole Proprietor
- Yes
Practice Information
- Address
-
3701 MEADOWHILL CTPHOENIX, MD, 211311744Browse MD providers · Browse ZIP 21131
- Phone
- 4106677942
- Primary Specialty
-
Athletic Trainer
2255A2300X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.