Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. LARRY J MARSHALL, MD
Active Sole ProprietorDR. LARRY J MARSHALL, MD is a Family Medicine healthcare provider located in LAKESIDE, California. NPI 1114018132 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · LAKESIDE, CA
Registration Details
- NPI Number
- 1114018132
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 27, 2006 (19.87833289912 yrs)
- Last Updated
- Dec 16, 2020
- Licenses
-
16913 (NV)A52344 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
12517 LAKESHORE DRLAKESIDE, CA, 920403103Browse CA providers · Browse ZIP 92040
- Phone
- 6194433843
- Fax
- 6193901810
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Family Medicine
Other Family Medicine Providers in LAKESIDE, CA
| Name | Credential | NPI |
|---|---|---|
| ELIZABETH MANNINO | M.D | 1548290463 |
| DR. VICTOR MANUEL MENDOZA-FERNANDEZ | — | 1134220239 |
| MR. KULIN TANTOD | MD | 1902058928 |
| DR. ROBERT JOHNSON | M.D. | 1730523515 |
| JOSHUA GUNPAT | — | 1114458775 |
| CHRISTINE PHAM | DO | 1356873897 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.