Larsen, Laura Jr

Larsen, Laura Jr is an individual health care provider with primary practice located at 2315 W 57Th St , Sioux Falls SD 57108-5046. She recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as her primary health care specialty. Larsen, Laura Jr can be contacted via phone (605) 336-3503.

Contact Information

Primary practice address
2315 W 57Th St Sioux Falls SD 57108-5046
Phone: (605) 336-3503
Fax: (605) 336-6010
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 1576 South Dakota

Profile Details

NPI number 1841298544
LBN Legal business name Larsen, Laura Jr
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2005
Last updated Nov 13th, 2009 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841298544 NPPES
Iowa MEDICAID 1953018
Iowa MEDICAID 931873900
Iowa MEDICAID 6520152
Iowa Other 4996175

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