Wayne Larson, M.D,

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD00016569 Issued in WA

Practice address

6210 75TH St W
Suite a-200
Lakewood, WA 98499-8303

Phone

(253) 581-2261

Fax

(253) 582-7310

NPI assigned

Apr 25, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679792881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7514 66TH AVE W",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984998161",
            "telephone_number": "253-588-9839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6210 75TH ST W",
            "address_2": "SUITE A-200",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984998303",
            "telephone_number": "253-581-2261",
            "fax_number": "253-582-7310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSON",
        "first_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "M.D,",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD00016569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hailee Larson
• Jadyn Jean Larson
• Melissa Irene Larson, LMP
• Michael J Larson, MD
• Sarah R Larson, LMP
• Joey L Laske, ARNP
• Danika-Marie Laskowski
• Emily Lassalle
• Ellen Camille Lassig, RBT
• Taviance Benet Laster

• Family Medicine Physician in Lakewood, WA
• Providers in Lakewood, WA by specialty
• Family Medicine Physician in Washington

• 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.