Healthcare Provider Details

I. General information

NPI: 1487282299
Provider Name (Legal Business Name): JOSHUA ANDREW LARRAZOLO MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/28/2020
Last Update Date: 10/27/2025
Certification Date: 10/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

309 NEW ST
GREENSBORO NC
27405-3654
US

IV. Provider business mailing address

309 NEW ST
GREENSBORO NC
27405-3654
US

V. Phone/Fax

Practice location:
  • Phone: 336-379-9708
  • Fax: 336-379-8714
Mailing address:
  • Phone: 336-379-9708
  • Fax: 336-379-8714

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number202301559
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: