Search › Arizona › 122300000X
Lewis Larsen
NPI 1760713994 · on the registry since 2010
Practice
- Address
- 6831 S Central Ave
Phoenix, AZ 85042 - Phone
- (602) 268-8881
- Organisation at this address
- South Central Dental Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Licence states on file
- AZ
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2010-01-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona