Individual provider · Type 1 NPI

Lisa A. Larson, APRN

Nurse Practitioner · Rockford, IL

NPI number 1770643397 Active

Practice location

2601 N Main St
Rockford, IL 61103

Call (779) 696-8350 Map

Mailing address

PO Box 78866
Milwaukee, WI 53278-8866

Other practice locations

  • 1401 E State St Fl 2, Rockford, IL 61104 · (779) 696-8050
  • 1401 E State St Fl 2, Rockford, IL 61104 · (779) 696-8050
  • 1401 E State St Fl 2, Rockford, IL 61104 · (779) 696-8050
  • 1401 E State St Fl 2, Rockford, IL 61104 · (779) 696-8050

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X209-000807 (IL)
Adult Health Nurse Practitioner 363LA2200X041-273612 (IL)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

5 other providers at this address

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About NPI 1770643397

Lisa A. Larson, APRN's National Provider Identifier is 1770643397, issued on Dec 12, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Rockford, IL. The record was last updated on Mar 12, 2021.