Larson, Lisa A.

Larson, Lisa A. is an individual health care provider with primary practice located at 2601 N Main St , Rockford IL 61103. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Larson, Lisa A. can be contacted via phone (779) 696-8350.

Contact Information

Primary practice address
2601 N Main St Rockford IL 61103
Phone: (779) 696-8350
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 209-000807 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 041-273612 Illinois

Profile Details

NPI number 1770643397
LBN Legal business name Larson, Lisa A.
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 12th, 2006
Last updated Mar 12th, 2021 - about 3 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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