| Provider / Organization | NPI | Date Certified |
|---|---|---|
| LARS LARSON | 1427652361 | 2020-11-22 |
Lars Larson is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1427652361. Registration indicates Lars Larson is a provider of access to adult/geriatric primary care providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Nurse Practitioner: Acute Care, ) (All Other Specialties & Provider Types, ) (Nurse Practitioner Acute Care, Physician Assistants & Advanced Practice Nursing Providers) (Nurse Practitioner, )
| Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
| Entity Type | Individual |
| Provider Name | Lars Larson CRNP |
| Practice Office Address | 701 PRINCETON AVE SW BIRMINGHAM, AL US |
| Practice Office Telephone | 2057837970 |
| Mailing Address | 1141 N SHADESVIEW TER HOMEWOOD, AL 352096637 US |
| Code | Practice | License No State |
|---|---|---|
| 363LA2100X PRIMARY | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse PractitionerAccess to Pediatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Nurse Practitioner: Acute Care All Other Specialties & Provider Types Nurse Practitioner Acute Care Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner | 1-153397
AL |