Individual provider · Type 1 NPI

Shane Lyle Larson, MD

Sports Medicine (Family Medicine) Physician · Fort Eustis, VA

NPI number 1750601191 Active

Practice location

576 Jefferson Ave
Fort Eustis, VA 23604-1373

Call (757) 820-1043 Map

Fax (757) 820-1122

Other practice locations

  • 2817 Reilly Road, Fort Bragg, NC 28310 · (910) 643-1427

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician 207Q00000X67238 (GA)
Sports Medicine (Family Medicine) Physician Primary 207QS0010X67238 (GA)

Sports Medicine (Family Medicine) Physician: A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomecha…

161 other providers at this address

About NPI 1750601191

Shane Lyle Larson, MD's National Provider Identifier is 1750601191, issued on Jun 8, 2010. The primary taxonomy on file is Sports Medicine (Family Medicine) Physician (207QS0010X), and the practice location is in Fort Eustis, VA. The record was last updated on Apr 27, 2022.