Larson, Lily Rose

Larson, Lily Rose is an individual health care provider with primary practice located at 1101 E 78Th St , Bloomington MN 55420-1400. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Larson, Lily Rose can be contacted via phone (952) 234-6860.

Contact Information

Primary practice address
1101 E 78Th St Bloomington MN 55420-1400
Phone: (952) 234-6860
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 305897 Minnesota

Profile Details

NPI number 1932722592
LBN Legal business name Larson, Lily Rose
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2020
Last updated Dec 14th, 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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