Dr AMMON J LARSEN is a male medical professional, specializing in Dermatology. He graduated in 2013 from Pennsylvania State University College Of Medicine.
LAKE LOVELAND DERMATOLOGY PC
776 W EISENHOWER BLVD
LOVELAND
CO
805373157
Tel: 9706673116
| Npi | 1982044012 |
| Pac Id | 0749559961 |
| Professional Enrollment Id | I20170703000738 |
| Last Name | LARSEN |
| First Name | AMMON |
| Middle Name | J |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | PENNSYLVANIA STATE UNIVERSITY COLLEGE OF MEDICINE |
| Graduation Year | 2013 |
| Primary Specialty | DERMATOLOGY |
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| Organization Legal Name | LAKE LOVELAND DERMATOLOGY PC |
| Group Practice Pac Id | 1456329655 |
| Number Of Group Practice Members | 7 |
| Line 1 Street Address | 776 W EISENHOWER BLVD |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | LOVELAND |
| State | CO |
| Zip Code | 805373157 |
| Phone Number | 9706673116 |
| Hospital Affiliation Ccn 1 | 060076 |
| Hospital Affiliation Lbn 1 | STERLING REGIONAL MEDCENTER |
| Hospital Affiliation Ccn 2 | |
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| Professional Accepts Medicare Assignment | Y |
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