Healthcare Provider Details

I. General information

NPI: 1801051230
Provider Name (Legal Business Name): CAMRRON LYNN LARSON D.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/24/2008
Last Update Date: 08/28/2026
Certification Date: 08/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4730 E LONE MOUNTAIN RD STE 112
CAVE CREEK AZ
85331-5539
US

IV. Provider business mailing address

4730 E LONE MOUNTAIN RD STE 112
CAVE CREEK AZ
85331-5539
US

V. Phone/Fax

Practice location:
  • Phone: 480-275-7005
  • Fax: 480-275-7113
Mailing address:
  • Phone: 480-275-7005
  • Fax: 480-275-7113

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number7933
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: