NATHANAEL M LARSEN

LAKELAND MENTAL HEALTH CENTER INC

Dr NATHANAEL M LARSEN is a male medical professional, specializing in Psychologist, Clinical. He graduated in 2004.

Contact

LAKELAND MENTAL HEALTH CENTER INC

980 S TOWER RD
FERGUS FALLS
MN
565375505

Tel: 2187366987

NATHANAEL M LARSEN Information

Npi 1912954728
Pac Id 8729091640
Professional Enrollment Id I20060719000173
Last Name LARSEN
First Name NATHANAEL
Middle Name M
Suffix
Gender M
Credential
Medical School Name OTHER
Graduation Year 2004
Primary Specialty PSYCHOLOGIST, CLINICAL
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name LAKELAND MENTAL HEALTH CENTER INC
Group Practice Pac Id 1759291891
Number Of Group Practice Members 37
Line 1 Street Address 980 S TOWER RD
Line 2 Street Address
Marker Of Address Line 2 Suppression
City FERGUS FALLS
State MN
Zip Code 565375505
Phone Number 2187366987
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
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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