NPI 1043350093 MARIANNE LARSEN PA-C LIVE OAK FL. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Marianne Larsen - NPI: 1043350093

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: MARIANNE LARSEN
NPI Number: 1043350093
Entity Type Code: Individual (1)
Gender: F
Credentials: PA-C
License Number: 0003034
Business Practice Address: 4225 Nw American Ln
Lake City, FL - 320554881
Business Phone Number: 3867586141
Business Fax Number:
Mailing Address: 1007 Pine Ave Sw,
LIVE OAK
State: FL
Postal Code: 320644021
Phone Number: 3863627822
Fax Number:
NPI Enumeration Date: 02/07/2007
NPI Last Update Date: 07/08/2007
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 363AM0700X
License Number: 0003034
Healthcare Provider Taxonomy:
(Secondary)
Y
State: FL
Taxonomy Type: Physician Assistants & Advanced Practice Nursing Providers
Taxonomy Classification: Physician Assistant
Taxonomy Specialization: Medical
Taxonomy Definition:


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