Individual provider · Type 1 NPI

Joseph D. Larson

Student in an Organized Health Care Education/Training Program · New Britain, CT

NPI number 1578304556 Active

Practice location

1615 Stanley St
New Britain, CT 06050-2439

Call (860) 832-3086 Map

Mailing address

23 Park Ln E
New Milford, CT 06776-2528

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 1578304556

Joseph D. Larson's National Provider Identifier is 1578304556, issued on Jun 4, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in New Britain, CT. The record was last updated on Jun 4, 2024.