Individual provider · Type 1 NPI
Mackenzie A. Larson
Student in an Organized Health Care Education/Training Program · Fort Lupton, CO
NPI number
1477218014
Active
Practice location
218 4th St
Fort Lupton, CO 80621-2016
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Athletic Trainer | 2255A2300X | None listed |
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None 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 1477218014
Mackenzie A. Larson's National Provider Identifier is 1477218014, issued on Nov 8, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Fort Lupton, CO. The record was last updated on Nov 8, 2021.