Larry William List, is a
Specialist/technologist, Pathology - Cytotechnology based in Saint Louis, Missouri. Larry William List is licensed to practice in * (Not Available) (license number ) and his current practice location is
915 N Grand Blvd, Saint Louis, Missouri. He can be reached at his office (for appointments etc.) via phone at
(314) 652-4100.
NPI number for Larry William List is 1598277444 and his current mailing address is 915 N Grand Blvd, Saint Louis, Missouri. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1598277444.
Provider's Profile
| Full Name | Larry William List |
|---|
| Gender | Male |
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| Speciality | Specialist/technologist, Pathology - Cytotechnology |
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| Location | 915 N Grand Blvd, Saint Louis, Missouri |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1598277444
- Provider Enumeration Date: 11/01/2017
- Last Update Date: 11/01/2017
Medical Identifiers
Medical identifiers for Larry William List such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1598277444 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| 246QC2700X | Specialist/technologist, Pathology - Cytotechnology | (* (Not Available)) | 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. Larry William List 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 |
|---|
Larry William List,
915 N Grand Blvd,
Saint Louis, MO 63106-1621
Ph: (314) 652-4100 | Larry William List,
915 N Grand Blvd,
Saint Louis, MO 63106-1621
Ph: (314) 652-4100 |
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