Larsen, Diana Lorraine

Larsen, Diana Lorraine is an sole proprietor health care provider with primary practice located at 348 Market St Suite A, Colusa CA 95932-2422. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Larsen, Diana Lorraine can be contacted via phone (530) 458-5565.

Contact Information

Primary practice address
348 Market St Suite A Colusa CA 95932-2422
Phone: (530) 458-5565
Fax: (530) 458-2838
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X NP545628 California

Profile Details

NPI number 1619964244
LBN Legal business name Larsen, Diana Lorraine
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 29th, 2005
Last updated Jul 8th, 2007 - about 19 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 1619964244 NPPES
California MEDICAID RN545628

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