Individual
LANCE G LARSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1303 E HERNDON AVE, FRESNO, CA 93720-3309
(559) 450-3000
Mailing address
1630 E HERNDON AVE, FRESNO, CA 93720-3391
(559) 256-5200
(559) 256-5376
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
A88814
CA
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
A88814
CA
Other
Enumeration date
07/12/2006
Last updated
02/02/2026
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