Elizabeth S Larsen, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

169 Issued in NH

Practice address

1 Medical Center Dr
Dartmouth Hitchcock Medical Center
Lebanon, NH 03756-1000

Phone

(603) 448-1941

Fax

(603) 448-6059

NPI assigned

Nov 20, 2006

Sex

Female

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1548334592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 HILLCREST DR",
            "city": "LEBANON",
            "state": "NH",
            "postal_code": "037661856",
            "telephone_number": "603-448-5302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEDICAL CENTER DR",
            "address_2": "DARTMOUTH HITCHCOCK MEDICAL CENTER",
            "city": "LEBANON",
            "state": "NH",
            "postal_code": "037561000",
            "telephone_number": "603-448-1941",
            "fax_number": "603-448-6059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSEN",
        "first_name": "ELIZABETH",
        "middle_name": "S",
        "name_prefix": "Ms.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NH",
            "license": "169",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30332163",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Caroline Lapp
• Paula Sofia Lara Mejia
• Eugene Walter Lariviere, M.D.
• Teri B Larock, MSW, LICSW
• Nicole Larocque, OTR/L
• Joseph Larson
• Robin J Larson, M.D., M.P.H.
• Leah R Lascala, MD
• Laurie Latchaw, M.D.
• Bonnie W Lau, MD, PHD

• Physician Assistant in Lebanon, NH
• Providers in Lebanon, NH by specialty
• Physician Assistant in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.