Larsen, John A.

Larsen, John A. is an individual health care provider with primary practice located at 11315 Bridgeport Way Sw , Lakewood WA 98499-3004. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Larsen, John A. can be contacted via phone (253) 985-6403.

Contact Information

Primary practice address
11315 Bridgeport Way Sw Lakewood WA 98499-3004
Phone: (253) 985-6403
Fax: (253) 985-2948
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X MD00043782 Washington

Profile Details

NPI number 1932128576
LBN Legal business name Larsen, John A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2006
Last updated Aug 21st, 2020 - about 6 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 1932128576 NPPES
Washington MEDICAID 1120435

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