Larry R Lett, MD

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

01027809A Issued in IN

Practice address

2350 S Dixon Rd
Suite 430
Kokomo, IN 46902-6428

Phone

(765) 319-3681

Fax

(765) 319-3683

NPI assigned

Aug 8, 2006

Last updated

Jan 21, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Center for Emg & Neurology LLC

  • Neurology Physician
  • Kokomo, IN
  • NPI 1952638538
  Authorized official Same address or phone
• Major Hospital

  • General Acute Care Hospital
  • Shelbyville, IN
  • NPI 1174555692
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264032000000",
    "number": "1457361115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2350 S DIXON RD",
            "address_2": "SUITE 430",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469026428",
            "telephone_number": "765-319-3681",
            "fax_number": "765-319-3683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2350 S DIXON RD",
            "address_2": "SUITE 430",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469026428",
            "telephone_number": "765-319-3681",
            "fax_number": "765-319-3683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LETT",
        "first_name": "LARRY",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-08",
        "last_updated": "2010-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "IN",
            "license": "01027809A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100354410",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM HEALTH PLAN",
            "identifier": "000000082993",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "3566882001",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alicia Leming, RBT-24-387894
• Chelsea Nicole Lemonte, MA
• Erin Leonard, RBT, BS
• Robert E Lesko, O.D.
• Rachel M Lesniowski, PT, DPT
• Kelly Ann Lewis, BS
• Meghan Lewis, RBT
• Peyton Elizabeth Lewis
• Tiffani Lewis, PTA
• Liberty Dialysis - Kokomo LLC (U.S. Renal Care Kokomo Dialysis)

• Neurology Physician in Kokomo, IN
• Providers in Kokomo, IN by specialty
• Neurology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.