Larsen, Gregory Paul
Larsen, Gregory Paul is an individual health care provider with primary practice located at 1111 Medical Center Blvd Suite 313, Marrero LA 70072-3151. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Larsen, Gregory Paul can be contacted via phone (504) 842-4083.Contact Information
Primary practice address
1111 Medical Center Blvd Suite 313
Marrero LA 70072-3151
Phone: (504) 842-4083
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | MD.206990 | Louisiana |
Profile Details
| NPI number | 1548497860 |
|---|---|
| LBN Legal business name | Larsen, Gregory Paul |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 12th, 2009 |
| Last updated | Nov 21st, 2014 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1548497860 | NPPES |
| Mississippi | MEDICAID | 06072737 | |
| Mississippi | MEDICAID | 2375474 |
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