Penny Lee Larson in Rancho Cordova - Addiction Medicine
Penny Lee Larson - NPI 1528057213
Penny Lee Larson is a Addiction Medicine in Rancho Cordova, California. Penny Lee Larson practices all healthcare services and medical treatments related to Addiction Medicine. The NPI Number for Penny Lee Larson is 1528057213. The last update date is 2023-06-15.
Penny Lee Larson's current location address is 12646 Thornberg Way, Rancho Cordova, California. You can contact this provider via phone number 9162386070 and fax number 9162386070. The mailing address for Penny Lee Larson is 12646 Thornberg Way, Rancho Cordova, California. To know further, please read the information below!
Provider Profile Detail
Provider Name | Penny Lee Larson |
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Address | 12646 Thornberg Way, Rancho Cordova, California |
Phone Number | 9162386070 |
Fax Number | 9162386070 |
Sole Proprietor | N |
Credentials | M.D. |
NPI Number Detail
NPI Number | 1528057213 |
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Provider Enumeration Date | 2005-10-17 |
Last Updated Date | 2023-06-15 |
Provider Mailing Address Detail
Address | 12646 Thornberg Way |
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City | Rancho Cordova |
State | California (CA) |
Post Code | 957427839 |
Phone Number | 9162386070 |
Fax Number | 9162386070 |
Provider's Primary Taxonomy Detail
Speciality | Addiction Medicine |
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Taxonomy | 2083A0300X |
Licence No | A93985 |
Definition: A physician engaged in the subspecialty practice of Addiction Medicine who specializes in the prevention, evaluation, diagnosis, treatment, and recovery of persons with the disease of addiction. |
Post Comment/ Review Below
What is the unique identifier code issued to Penny Lee Larson by the Centers for Medicare & Medicaid Services (CMS)?
The Penny Lee Larson has been assigned the NPI (National Provider Identifier) 1528057213. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Penny Lee Larson?
The Penny Lee Larson is physically situated at 12646 Thornberg Way, in the city of Rancho Cordova, state of CA, with the postal code 957427839.
What is Penny Lee Larson's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Penny Lee Larson is Addiction Medicine, and the taxonomy code that categorizes this field of expertise is 2083A0300X.
When did Penny Lee Larson receive its 1528057213 assignment?
The Penny Lee Larson was assigned its 1528057213 on 2005-10-17, which is the date when this unique identifier was issued to the organization.
As of what date was the information regarding Penny Lee Larson, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Penny Lee Larson, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2023-06-15.