Individual provider · Type 1 NPI

Stacy Lynn Larsen, DDS

General Practice Dentistry · Fort Bragg, NC

NPI number 1336126697 Active

About NPI 1336126697

Stacy Lynn Larsen, DDS's National Provider Identifier is 1336126697, issued on Dec 28, 2005. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Fort Bragg, NC. The record was last updated on Jun 13, 2008.