Dr ALEXANDRA L LARSON is a female medical professional, specializing in Pathology. She graduated in 2011.
PEORIA TAZEWELL PATHOLOGY GROUP, S.C.
221 NEGLEN OAK AVE
PEORIA
IL
616364310
Tel: 3096724919
| Npi | 1992090468 |
| Pac Id | 8022300870 |
| Professional Enrollment Id | I20180731004183 |
| Last Name | LARSON |
| First Name | ALEXANDRA |
| Middle Name | L |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2011 |
| Primary Specialty | PATHOLOGY |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | PEORIA TAZEWELL PATHOLOGY GROUP, S.C. |
| Group Practice Pac Id | 1254228711 |
| Number Of Group Practice Members | 19 |
| Line 1 Street Address | 221 NEGLEN OAK AVE |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | PEORIA |
| State | IL |
| Zip Code | 616364310 |
| Phone Number | 3096724919 |
| Hospital Affiliation Ccn 1 | 140280 |
| Hospital Affiliation Lbn 1 | TRINITY - ROCK ISLAND |
| Hospital Affiliation Ccn 2 | 140209 |
| Hospital Affiliation Lbn 2 | METHODIST MEDICAL CENTER OF ILLINOIS |
| Hospital Affiliation Ccn 3 | 160104 |
| Hospital Affiliation Lbn 3 | TRINITY - BETTENDORF |
| Hospital Affiliation Ccn 4 | 160013 |
| Hospital Affiliation Lbn 4 | TRINITY MUSCATINE |
| Hospital Affiliation Ccn 5 | 141313 |
| Hospital Affiliation Lbn 5 | MASON DISTRICT HOSPITAL |
| Professional Accepts Medicare Assignment | Y |
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