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Individual

MELISSA LARSON

Active
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Individual

MELISSA LARSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
36840
CO
207L00000X
Anesthesiology Physician
Primary
DR.0036840
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100335770A
KS
05
114221600
WY
05
27807070
CO
05
3506685
MT
05
84113438513
NE
05
8648603
NJ
05
XPY204583
CA
05
Z5206
NM
Enumeration date
12/29/2005
Last updated
07/09/2026
Update your record

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