Lori Augusta Larsen, MESSAGE THERAPIST is a
Massage Therapist based in Redgranite, Wisconsin. Lori Augusta Larsen is licensed to practice in Wisconsin (license number 2116-146) and her current practice location is
1100 E Bannerman Ave # 2, Redgranite, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(920) 566-0767.
NPI number for Lori Augusta Larsen is 1598427833 and her current mailing address is Po Box 447, Redgranite, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1598427833.
Healthcare Provider's Profile
Full Name | Lori Augusta Larsen |
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Gender | Female |
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Speciality | Massage Therapist |
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Location | 1100 E Bannerman Ave # 2, Redgranite, Wisconsin |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1598427833
- Provider Enumeration Date: 10/13/2021
- Last Update Date: 10/18/2021
Medical Identifiers
Medical identifiers for Lori Augusta Larsen such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1598427833 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225700000X | Massage Therapist | 2116-146 (Wisconsin) | 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. Lori Augusta Larsen 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 |
Lori Augusta Larsen, MESSAGE THERAPIST Po Box 447, Redgranite, WI 54970-0447 Ph: (920) 566-0767 | Lori Augusta Larsen, MESSAGE THERAPIST 1100 E Bannerman Ave # 2, Redgranite, WI 54970-9320 Ph: (920) 566-0767 |
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