Larsen, Laurie Denise
Larsen, Laurie Denise is an individual health care provider with primary practice located at 3121 S Maryland Pkwy Ste 420, Las Vegas NV 89109-2307. She recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as her primary health care specialty. Larsen, Laurie Denise can be contacted via phone (702) 796-8669.Contact Information
Primary practice address
3121 S Maryland Pkwy Ste 420
Las Vegas NV 89109-2307
Phone: (702) 796-8669
Fax: (702) 796-9517
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 7216 | Nevada |
Profile Details
| NPI number | 1780685859 |
|---|---|
| LBN Legal business name | Larsen, Laurie Denise |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 10th, 2005 |
| Last updated | Jul 25th, 2013 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1780685859 | NPPES |
| Arizona | Other | 483864 | MEDICAID ARIZONA |
| Arizona | MEDICAID | 20-19282 | MEDICAID ARIZONA |
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