Individual
DR. LAUREN K LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2416 REGENCY RD, LEXINGTON, KY 40503-2954
(859) 278-1316
(859) 276-1574
Mailing address
280 PASADENA DR, LEXINGTON, KY 40503-2925
(859) 278-1316
(859) 278-9896
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
36246
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000240303
ANTHEM
KY
01
—
1200999
CHA
KY
01
—
1392787
UMWA
KY
01
—
16363600
DOL
KY
01
—
2125891
FIRST HEALTH
KY
01
—
23-00145
UNITED HEALTHCARE
KY
01
—
250013955
RAILROAD MCR
KY
01
—
50002209
PASSPORT
KY
01
—
611142277
TRICARE
KY
01
—
611142277R
HUMANA
KY
05
—
64055080
—
KY
01
—
K010972
CHAMPUS
KY
Enumeration date
07/07/2005
Last updated
07/28/2016
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