Larson, Michelle Lyn

Larson, Michelle Lyn is an individual health care provider with primary practice located at 5301 E Grant Rd , Tucson AZ 85712-2805. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Obstetrics. Allopathic & Osteopathic Physicians / Obstetrics is her primary health care specialty. Larson, Michelle Lyn can be contacted via phone (520) 795-8188.

Contact Information

Primary practice address
5301 E Grant Rd Tucson AZ 85712-2805
Phone: (520) 795-8188
Fax: (520) 325-0809
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 51743 Minnesota
Allopathic & Osteopathic Physicians / Obstetrics 207VX0000X 53219 Arizona

Profile Details

NPI number 1295937993
LBN Legal business name Larson, Michelle Lyn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 4th, 2007
Last updated Sep 13th, 2021 - about 5 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1295937993 NPPES
Arizona Other 53219 AZ MEDICAL LICENCSE
Arizona MEDICAID 235618 AZ MEDICAL LICENCSE

Popular Providers