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General NPI Number Information
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NPI Number | 1316944192
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Entity Type | Individual
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Provider Name | LAUREN K LARSON M.D.
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Gender | Female
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Dates
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Enumeration Date | 07/07/2005
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Last Update Date | 07/28/2016
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Provider Practice Location Address
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Address Line | 2416 REGENCY RD
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City | LEXINGTON
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State | KY
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Zip | 40503-2954
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Country | US
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Telephone | 859-278-1316
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Fax | 859-276-1574
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Provider Business Mailing Address
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Address Line | 280 PASADENA DR
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City | LEXINGTON
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State | KY
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Zip | 40503-2925
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Country | US
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Telephone | 859-278-1316
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Fax | 859-278-9896
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number | 36246
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License Number State | KY
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