Individual provider · Type 1 NPI
Larissa Nichole Lurken, NP
Pediatric Nurse Practitioner · Willmar, MN
NPI number
1497580690
Active
Practice location
101 Willmar Ave SW
Willmar, MN 56201-3556
Mailing address
18468 Eldorado Way
Farmington, MN 55024-8607
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 11482 (MN) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1497580690
Larissa Nichole Lurken, NP's National Provider Identifier is 1497580690, issued on Sep 6, 2024. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Willmar, MN. The record was last updated on Sep 6, 2024.