Larson, Mark

Larson, Mark is an individual health care provider with primary practice located at 2373 Augusta Hwy , Lexington SC 29072-2213. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Larson, Mark can be contacted via phone (803) 951-0786.

Contact Information

Primary practice address
2373 Augusta Hwy Lexington SC 29072-2213
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 19410 South Carolina

Profile Details

NPI number 1942789318
LBN Legal business name Larson, Mark
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 7th, 2018
Last updated Aug 7th, 2018 - about 7 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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