Larson, Lori M

Larson, Lori M is an individual health care provider with primary practice located at 650 Huebner Rd , Fort Riley KS 66442-4030. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Larson, Lori M can be contacted via phone (785) 240-6560.

Contact Information

Primary practice address
650 Huebner Rd Fort Riley KS 66442-4030
Phone: (785) 240-6560
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X P401 Nebraska
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Professional 101YP2500X 1954 Nebraska
Behavioral Health & Social Service Providers / Professional 101YP2500X 1080 Nebraska

Profile Details

NPI number 1700952397
LBN Legal business name Larson, Lori M
Credentials LIMHP, LPC, MAC, ACS
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 27th, 2006
Last updated Feb 1st, 2023 - about last year

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 1700952397 NPPES
Nebraska MEDICAID 47037661202
Nebraska MEDICAID 10025315600
Nebraska MEDICAID 10025224900

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