Individual provider · Type 1 NPI

Adam Thomas Larsen

Student in an Organized Health Care Education/Training Program · Scranton, PA

NPI number 1457715005 Active

Practice location

2300 Adams Ave
Scranton, PA 18509-1514

Call (570) 348-6211 Map

Mailing address

7303 White Birch Ln
Cresco, PA 18326-7928

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer 2255A2300XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1457715005

Adam Thomas Larsen's National Provider Identifier is 1457715005, issued on Apr 10, 2016. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Scranton, PA. The record was last updated on Apr 10, 2016.