Individual provider · Type 1 NPI

Mallory Marie Larson, LPN

Licensed Practical Nurse · Oswego, NY

NPI number 1942645148 Active

Practice location

300 State Route 104, Suite 1
Oswego, NY 13126-2956

Fax (315) 216-6669

Mailing address

70 Hurlbut Rd
Mexico, NY 13114-4256

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X308264 (NY)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

7 other providers at this address

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About NPI 1942645148

Mallory Marie Larson, LPN's National Provider Identifier is 1942645148, issued on May 2, 2013. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Oswego, NY. The record was last updated on Mar 31, 2014.