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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MACKENZIE A LARSON

Active Sole Proprietor

MACKENZIE A LARSON is a Student (Health Education/Training) healthcare provider located in FORT LUPTON, Colorado. NPI 1477218014 is currently active in the NPPES registry. Verify at CMS.

Student (Health Education/Training) · FORT LUPTON, CO

Registration Details

NPI Number
1477218014
Provider Type
Individual
Gender
Female
NPI Issued
Nov 8, 2021 (4.5786337879571 yrs)
Last Updated
Nov 8, 2021
Sole Proprietor
Yes

Practice Information

Address
218 4TH ST
FORT LUPTON, CO, 806212016
Browse CO providers · Browse ZIP 80621
Phone
3037100903
Primary Specialty
Student (Health Education/Training)
390200000X

Other Student (Health Education/Training) Providers in FORT LUPTON, CO

Name Credential NPI
GISELA CARDENAS 1477337731
ISMAEL A BANUELOS 1326844051
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.