Individual
LANCE M LARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
MSC 10 5610, 1 UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 87131
(505) 272-6487
Mailing address
800 BRADBURY DR SE STE 116, ALBUQUERQUE, NM 87131-4310
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
7757
KS
208600000X
Surgery Physician
Primary
MD2019-0231
NM
208600000X
Surgery Physician
RS2018-0637
NM
208C00000X
Colon & Rectal Surgery Physician
04-39443
KS
208C00000X
Colon & Rectal Surgery Physician
LP03632
RI
Other
Enumeration date
07/01/2011
Last updated
04/02/2025
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