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L CRAIG LARSEN DPM PC NPI 1134188394


NPI Information

NPI: 1134188394
Provider Name: L CRAIG LARSEN DPM PC
Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
5801 FASHION BLVD
# 120
MURRAY, UT
ZIP 84107
Phone: (801) 261-1391
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L CRAIG LARSEN DPM PC is a podiatrist in Murray, UT. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. L CRAIG LARSEN DPM PC NPI is 1134188394. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5801 FASHION BLVD
# 120
MURRAY, UT
ZIP 84107-159
Phone: (801) 261-1391
Fax: (801) 261-1394

The provider's authorized official is L Clark Larsen .
The authorized official title is President and has the following contact phone number (801) 261-1391.

The enumeration date for this NPI number is 3/17/2006 and was last updated on 12/1/2014.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1213E00000XPodiatrist101447-0501UTAHYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10578030001MEDICARE NSCUTAH
2T48853MEDICARE UPINUTAH
3529501253006MEDICAIDUTAH
4000060015MEDICARE PINUTAH

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.