LISA LARSON, APRN
Nurse Practitioner
Active
Individual
NPI: 1770643397
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Nurse Practitioner | 363L00000X | Yes | 209-000807 (IL) |
| Nurse Practitioner - Adult Health | 363LA2200X | No | 041-273612 (IL) |
Frequently Asked Questions
NPI 1770643397 is the National Provider Identifier for LISA LARSON, APRN, a Nurse Practitioner provider located in Rockford, IL. This NPI was enumerated on December 12, 2006.
LISA LARSON, APRN practices at 2601 N MAIN ST, Rockford, IL 61103.
Quick Facts
- NPI
- 1770643397
- Type
- Individual
- Enumerated
- Dec 12, 2006
- Last Updated
- Mar 12, 2021
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