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L ROYCE LARSEN MD LLC NPI 1013188424


NPI Information

NPI: 1013188424
Provider Name: L ROYCE LARSEN MD LLC
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
800 N LOGAN AVE
SUITE 206
DANVILLE, IL
ZIP 61832
Phone: (217) 446-5900
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L ROYCE LARSEN MD LLC is a specialist in Danville, IL. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. L ROYCE LARSEN MD LLC NPI is 1013188424. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

800 N LOGAN AVE
SUITE 206
DANVILLE, IL
ZIP 61832-741
Phone: (217) 446-5900
Fax: (217) 446-3810

The provider's authorized official is L Royce Larsen .
The authorized official title is Owner and has the following contact phone number (217) 446-5900.

The enumeration date for this NPI number is 3/13/2008 and was last updated on 3/13/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialistILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10533210001MEDICARE NSCILLINOIS
2C48310MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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