Individual
LEANN J LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1195 BOYSON RD STE 200, HIAWATHA, IA 52233-2214
(319) 362-8032
(319) 362-6098
Mailing address
309 E CHURCH ST, MARSHALLTOWN, IA 50158-2946
(641) 754-6200
(641) 752-7420
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
33166
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
180037625
RAILROAD MEDICARE
IA
Enumeration date
08/17/2005
Last updated
07/21/2022
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