Individual
MR. LARRY SCOTT CONNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
LAKELAND REGIONAL HOSPITAL, 440 SOUTH MARKET, SPRINGFIELD, MO 65806-2026
(417) 865-5581
Mailing address
5326 SOUTH FORT, SPRINGFIELD, MO 65810
(417) 818-2189
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2002019886
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
495971905
—
MO
Enumeration date
11/07/2006
Last updated
09/24/2013
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