Clorrisa Jo Larsen

Primary specialty

Pharmacy TechnicianTaxonomy code 183700000X

License

745585 Issued in MN

Practice address

302 E Howard St Ste 302
Hibbing, MN 55746-1772

Phone

(218) 421-6350

NPI assigned

Jun 14, 2021

Sex

Female

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1623628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623628800000",
    "number": "1699343905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 E HOWARD ST STE 302",
            "city": "HIBBING",
            "state": "MN",
            "postal_code": "557461772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 E HOWARD ST STE 302",
            "city": "HIBBING",
            "state": "MN",
            "postal_code": "557461772",
            "telephone_number": "218-421-6350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSEN",
        "first_name": "CLORRISA",
        "middle_name": "JO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-14",
        "last_updated": "2021-06-14",
        "certification_date": "2021-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "MN",
            "license": "745585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brylee Laitala
• Lakeland Pathology
• Juliann Marie Lange, MS, ATC
• Judy Arlene Lanners, CPHT
• Deb Larose, LPN
• Heather Larson, RN, CNP
• Joseph Frederick Lemker
• Robert Ernest Lew, DDS
• Tracey Anne Lexvold, LPCC
• Tammy Licari, R.D.

• Pharmacy Technician in Hibbing, MN
• Providers in Hibbing, MN by specialty
• Pharmacy Technician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2021; 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.