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DR. LARS ERIK WALLIN M.D. NPI 1821434457


NPI Information

NPI: 1821434457
Provider Name: DR. LARS ERIK WALLIN, M.D.
Classification: Urology - 208800000X
Entity Type: Individual
Organization: ST LUKE'S CLINIC, LLC

PECOS Registration: Yes

Address:
775 POLE LINE RD W STE 301
TWIN FALLS, ID
ZIP 83301
Phone: (208) 814-8700
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DR. Lars Erik Wallin, M.D. is an urology in Twin Falls, ID with 12 years of experience. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. DR. Lars Erik Wallin, M.D. NPI is 1821434457. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF TOLEDO COLLEGE OF MEDICINE
Graduation Year:2012

The provider's business location address is:

775 POLE LINE RD W STE 301
TWIN FALLS, ID
ZIP 83301-823
Phone: (208) 814-8700

The NPI 1821434457 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/22/2013 and was last updated on 12/8/2021.


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
1208800000XUrologyM-15935IDAHOYes

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.