MEDICARE: MS. KAREN L 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
1	207Q00000X	Family Medicine Physician	38104	CO

General Provider Information

NPI Number	:	1417949827
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. KAREN L LARSON MD

Provider Business Mailing Address
First Line	:	4704 HARLAN STREET
Second Line	:	SUITE 500
City	:	DENVER
State	:	CO
Zip	:	80212
Country	:	US
Telephone Number	:	303-232-5354
Fax Number	:	303-239-8878

Provider Business Practice Location Address
First Line	:	4704 HARLAN STREET
Second Line	:	SUITE 500
City	:	DENVER
State	:	CO
Zip	:	80212
Country	:	US
Telephone Number	:	303-232-5354
Fax Number	:	303-239-8878

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/22/2005
Last Update Date	:	11/23/2011

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