Adam Thomas Larsen
Student in an Organized Health Care Education/Training Program in Scranton, PA. Individual provider (NPI-1).
NPI number1457715005
StatusActive
Last updated in NPPESApr 10, 2016
Details
- NPI
- 1457715005
- Entity type
- Individual (NPI-1)
- Name
- Mr. Adam Thomas Larsen
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 10, 2016
- Last updated
- Apr 10, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
| 2255A2300X | Specialist/Technologist, Athletic Trainer | – | – |
Practice location
2300 Adams AveScranton, PA 18509-1514
Phone 570-348-6211
Mailing address
7303 White Birch LnCresco, PA 18326-7928
Phone 570-460-8006
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All 278 Student in an Organized Health Care Education/Training Program providers in Scranton · All 3,252 providers in Scranton
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