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NPI Code Detail

MEDICARE: DAVID LYNN LARNED MD

MEDICARE: DAVID LYNN LARNED MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry PhysicianH8191TX

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
3260038561OTHERTXRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
282W965OTHERTXBLUE CROSS BLUE SHIELD

General Provider Information

NPI Number : 1487712212
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID LYNN LARNED MD
Provider Business Mailing Address
First Line : 2001 S MEDFORD DR
Second Line :
City : LUFKIN
State : TX
Zip : 75901-6260
Country : US
Telephone Number : 936-639-1141
Fax Number :
Provider Business Practice Location Address
First Line : 2001 S MEDFORD DR
Second Line :
City : LUFKIN
State : TX
Zip : 75901-6260
Country : US
Telephone Number : 936-639-1141
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/05/2006
Last Update Date : 04/04/2012

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