Larson, Lance M
Larson, Lance M is an sole proprietor health care provider with primary practice located at Msc 10 5610 1 University Of New Mexico, Albuquerque NM 87131. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Colon & Rectal Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Larson, Lance M can be contacted via phone (505) 272-6487.Contact Information
Primary practice address
Msc 10 5610 1 University Of New Mexico
Albuquerque NM 87131
Phone: (505) 272-6487
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | RS2018-0637 | New Mexico |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 7757 | Kansas |
| Allopathic & Osteopathic Physicians / Colon & Rectal Surgery | 208C00000X | LP03632 | Rhode Island |
| Allopathic & Osteopathic Physicians / Colon & Rectal Surgery | 208C00000X | 04-39443 | Kansas |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | MD2019-0231 | New Mexico |
Profile Details
| NPI number | 1457648115 |
|---|---|
| LBN Legal business name | Larson, Lance M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 1st, 2011 |
| Last updated | Jul 13th, 2023 - about 2 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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