Charles Evert Larsson, MD is a
Family Medicine physician based in La Conner, Washington. Charles Evert Larsson is licensed to practice in Washington (license number MD00022768) and his current practice location is 528 Myrtle Avenue, La Conner, Washington. He can be reached at his office (for appointments etc.) via phone at
(360) 466-3136.
NPI number for Charles Evert Larsson is 1528331469 and his current mailing address is P O Box 1620, Laconner, Washington. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1528331469.
Physician's Profile
Full Name | Charles Evert Larsson |
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Gender | Male |
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Speciality | Family Medicine |
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Location | 528 Myrtle Avenue, La Conner, Washington |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1528331469
- Provider Enumeration Date: 02/22/2012
- Last Update Date: 02/22/2012
Medical Identifiers
Medical identifiers for Charles Evert Larsson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1528331469 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | MD00022768 (Washington) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Charles Evert Larsson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Charles Evert Larsson, MD P O Box 1620, Laconner, WA 98862-1620 Ph: () - | Charles Evert Larsson, MD 528 Myrtle Avenue, La Conner, WA 98257 Ph: (360) 466-3136 |
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