Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TUCKER LLOYD LARSEN, PA-C
ActiveTUCKER LLOYD LARSEN, PA-C is a Physician Assistant healthcare provider located in PLUMMER, Idaho. NPI 1245671379 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · PLUMMER, ID
Registration Details
- NPI Number
- 1245671379
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 17, 2013 (13.069159374385 yrs)
- Last Updated
- Dec 8, 2016
- License
-
PA-1457 (ID)
Practice Information
- Address
-
427 N 12TH ST.PLUMMER, ID, 83851Browse ID providers · Browse ZIP 83851
- Phone
- 2086861931
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
- Additional Specialty
- Student (Health Education/Training)
Other Physician Assistant Providers in PLUMMER, ID
| Name | Credential | NPI |
|---|---|---|
| KATELYN HAMMRICH | PA | 1003463902 |
| MR. AUSTEN REIS CARDOZA | PA-C | 1821766296 |
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.