Larson, Brooke Lou

Larson, Brooke Lou is an individual health care provider with primary practice located at 2630 E Citizens Dr , Fayetteville AR 72703-4797. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Larson, Brooke Lou can be contacted via phone (479) 527-9966.

Contact Information

Primary practice address
2630 E Citizens Dr Fayetteville AR 72703-4797
Phone: (479) 527-9966
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1114336278
LBN Legal business name Larson, Brooke Lou
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2014
Last updated Aug 3rd, 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.

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