Larsen, Karen Benedicte

Larsen, Karen Benedicte is an individual health care provider with primary practice located at 402 County Road D W Medtox Laboratories, Inc., Saint Paul MN 55112-3522. She recently has only one registered license in Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine, which is considered as her primary health care specialty. Larsen, Karen Benedicte can be contacted via phone (651) 628-6115.

Contact Information

Primary practice address
402 County Road D W Medtox Laboratories, Inc. Saint Paul MN 55112-3522
Phone: (651) 628-6115
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine 207ZP0105X 46238 Minnesota

Profile Details

NPI number 1770654279
LBN Legal business name Larsen, Karen Benedicte
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 13th, 2006
Last updated Jan 5th, 2009 - about 17 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 1770654279 NPPES
North Dakota MEDICAID 10387
North Dakota MEDICAID 7777470
North Dakota MEDICAID 0571638
North Dakota Other 1040004
North Dakota Other 11-00014
North Dakota Other 2032911
North Dakota Other HP40145
North Dakota Other 11-00380
North Dakota Other 131144
North Dakota MEDICAID 34454100
North Dakota MEDICAID 610942000

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