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NPI Code Detail

MEDICARE: MICHELE C LARSON MD

MEDICARE:   MICHELE C LARSON  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
1208000000XPediatrics Physician36470NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1A1542OTHERMEDCOST
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
351059OTHERBCBS

General Provider Information

NPI Number : 1326115171
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHELE C LARSON MD
Provider Business Mailing Address
First Line : 100 DUKE HEALTH CARY PL STE 210
Second Line :
City : CARY
State : NC
Zip : 27519-6760
Country : US
Telephone Number : 919-385-4650
Fax Number :
Provider Business Practice Location Address
First Line : 100 DUKE HEALTH CARY PL STE 210
Second Line :
City : CARY
State : NC
Zip : 27519-6760
Country : US
Telephone Number : 919-385-4650
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/29/2006
Last Update Date : 01/30/2024

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Directions to “ MICHELE C LARSON MD” Practice Location

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