DR. LYNN M LARSON


Address: 3857 Cooper St, Jackson, MI 49201-7547
Phone: 5177805600

DR. LYNN M LARSON (NPI# 1104021765) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1104021765
Entity Type Individual
Full Name DR. LYNN M LARSON
Other Name DR. LYNN M CORACI
Credential D.O.
Practice Address 3857 Cooper St
Jackson
MI 49201-7547
Mailing Address 6452 Millennium Ste 100
Lansing
MI 48917-7881
Practice Telephone 5177805600
Practice Fax Number 6153096512
Mailing Telephone 5178273149
Mailing Fax Number 6153096512
Enumeration Date 2007-06-15
Last Update Date 2011-06-30
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine 5101017147 MI Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MI LICENSE 5101017147 01

Other Providers LYNN LARSON

NPI Name Taxonomy Address Enumeration
1356695084 Lynn Dale Larson Psychologist 2980 S Rainbow Blvd, Suite 200a, Las Vegas, NV 89146-6531 2012-11-02

Office Location

Street Address 3857 COOPER ST
City JACKSON
State MI
Zip Code 49201-7547

Providers in the same location

NPI Name Taxonomy Address Enumeration
1215597414 Matthew Kuiper Dentist 3857 Cooper St, Jackson, MI 49201-7547 2019-06-19
1285115931 Mobile Medical Pros Pllc Surgery 3857 Cooper St, Jackson, MI 49201-7547 2018-08-21
1407375207 Kimberly Lynn Cannon Nurse Practitioner 3857 Cooper St, Jackson, MI 49201-7547 2017-09-12
1770031957 Duane Waters Correctional Pharmacy Clinic/Center 3857 Cooper St, Jackson, MI 49201-7547 2016-09-15
1578913935 James Michael Mcnamara Physician Assistant 3857 Cooper St, Jackson, MI 49201-7547 2016-06-16
1922402429 Harry Williams Dentist 3857 Cooper St, Jackson, MI 49201-7547 2014-10-14
1306272182 Danielle Sandella Alford Physician Assistant 3857 Cooper St, Jackson, MI 49201 2013-09-24

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1174137863 Sally Ann Shaw Behavior Technician 3699 Miles Rd., Jackson, MI 49201 2020-09-01
1780293043 Alyn Kristin Kay Technician Hope Network-hope's Door Cru, 3699 Miles Rd., Jackson, MI 49201 2020-07-23
1841827946 Maverick Jubane Student in an Organized Health Care Education/Training Program Henry Ford Allegiance Health, 205 N East Avenue, Jackson, MI 49201 2020-03-26
1306486584 Cody Williams Technician, Other 1001 Laurence Avenue St E, Jackson, MI 49201 2020-01-15
1720632292 Krystie Lynn Adorjan Speech-Language Pathologist 1175 W Parnall Rd, Jackson, MI 49201 2019-08-01
1407412653 Howard Franklin Tanner II Speech-Language Pathologist 102 East Michigan Avenue, Jackson, MI 49201 2019-05-14
1356863740 Rima Zarar Qayyum Speech-Language Pathologist 4800 Firethorn Dr., Jackson, MI 49201 2017-07-07
1306384383 Briana Nesmith Speech-Language Pathologist 2025 Ann Arbor Road, Jackson, MI 49201 2017-02-09
1255878062 W.a. Foote Memorial Hospital, Inc Otolaryngology 205 N.east Ave, Jackson, MI 49201 2017-01-31
1306212881 Aisha Henderson Social Worker 729 West Michigan Avenue, Jackson, MI 49201 2015-08-19
Find all providers in zip 49201

Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1215556048 Hannah Roberts Badon Internal Medicine 2450 Wild Valley Dr, Jackson, MS 39211-6224 2020-04-12
1649809476 Rachel Horn Mullins Internal Medicine 5379 Fairway St, Jackson, MS 39211-4251 2020-04-03
1861800666 Michigan Continuum Care Pllc Internal Medicine 1310 Greenwood Ave., Jackson, MI 49203 2014-07-25
1356605752 Jeremy Taylor Internal Medicine 971 Lakeland Dr Ste 450, Jackson, MS 39216-4615 2012-06-29
1134416019 Zubair Khan Internal Medicine 3291 Creekwood Cir, Jackson, WI 53037-8927 2011-06-29
1801181466 Anne Marie Shute Internal Medicine 7 Windwood Dr, Jackson, TN 38305-8835 2011-06-12
1487945648 Howard Carroll Friday Internal Medicine 4019 Old Canton Rd., Jackson, MS 39216 2011-04-22
1801195003 Mahir H Alsalman Internal Medicine 3100 Cooper St, Jackson, MI 49201-7545 2011-03-28
1912138967 Tatum Medical Clinic Internal Medicine 5903 Ridgewood Rd Ste 330, Jackson, MS 39211-3702 2009-08-06
1306089040 Hussein Othman Internal Medicine 205 Page Ave Ste B, Jackson, MI 49201-2462 2009-04-10
Find all providers in JACKSON

Competitor

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City JACKSON
Zip Code 49201

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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