Individual
KRISTIN A. LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
220 PAWTUCKET ST SUITE 300, UNIVERSITY CROSSING, LOWELL, MA 01854
(978) 934-6800
(978) 934-3080
Mailing address
220 PAWTUCKET ST SUITE 300, UNIVERSITY CROSSING, LOWELL, MA 01854
(978) 934-6800
(978) 934-3080
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
273962
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1427299007
BCBS MASS
MA
Enumeration date
03/12/2009
Last updated
10/02/2019
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