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Lisa Larsen

Registered Nurse in Brooklyn, NY. Individual provider (NPI-1).

NPI number1982002259
StatusActive
Last updated in NPPESFeb 27, 2019

Details

NPI
1982002259
Entity type
Individual (NPI-1)
Name
Lisa Larsen
Sex
Female
Sole proprietor
Yes
Enumeration date
Dec 18, 2014
Last updated
Feb 27, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163W00000X Registered Nurse663225NYYes

Practice location

8601 Ridge Blvd
Brooklyn, NY 11209

Phone 718-745-6610

Mailing address

8601 Ridge Blvd
Brooklyn, NY 11209-4905

Phone 718-745-6610

Other practice locations

8601 Ridge Blvd
Brooklyn, NY 11209

Phone 718-745-6610

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