Dr LAURI R LARSON MD is a female medical professional, specializing in Family Medicine. She graduated in 2001 from Loma Linda University School Of Medicine.
PROVIDENCE HEALTH AND SERVICES - WASHINGTON
1111 S 2ND AVE
WALLA WALL
WA
993624118
Tel: 5098975174
| Npi | 1477567881 |
| Pac Id | 0042281263 |
| Professional Enrollment Id | I20040803000166 |
| Last Name | LARSON |
| First Name | LAURI |
| Middle Name | R |
| Suffix | |
| Gender | F |
| Credential | MD |
| Medical School Name | LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2001 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialty 1 | OBSTETRICS/GYNECOLOGY |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | OBSTETRICS/GYNECOLOGY |
| Organization Legal Name | PROVIDENCE HEALTH AND SERVICES - WASHINGTON |
| Group Practice Pac Id | 2860552973 |
| Number Of Group Practice Members | 146 |
| Line 1 Street Address | 1111 S 2ND AVE |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | WALLA WALL |
| State | WA |
| Zip Code | 993624118 |
| Phone Number | 5098975174 |
| Hospital Affiliation Ccn 1 | 500002 |
| Hospital Affiliation Lbn 1 | PROVIDENCE ST MARY MEDICAL CENTER |
| Hospital Affiliation Ccn 2 | 381319 |
| Hospital Affiliation Lbn 2 | ST ANTHONY HOSPITAL |
| Hospital Affiliation Ccn 3 | |
| Hospital Affiliation Lbn 3 | |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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