Larson, James Lionel

Larson, James Lionel is an sole proprietor health care provider with primary practice located at 1543 Kingsley Ave Bldg 14, Orange Park FL 32073-4535. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Larson, James Lionel can be contacted via phone (904) 264-6977.

Contact Information

Primary practice address
1543 Kingsley Ave Bldg 14 Orange Park FL 32073-4535
Phone: (904) 264-6977
Fax: (904) 269-0870
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X ME20170 Florida

Profile Details

NPI number 1023043262
LBN Legal business name Larson, James Lionel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 12th, 2006
Last updated Jul 8th, 2007 - about 17 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 1023043262 NPPES
Florida MEDICAID 0671240000

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