Mr Susan Ann O'malley-larson, LPN is a
Licensed Practical Nurse based in Port Washington, Wisconsin. Mr Susan Ann O'malley-larson is licensed to practice in Wisconsin (license number 309598-031) and her current practice location is
2075 Lower Ridge Rd, Port Washington, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(262) 284-0389.
NPI number for Mr Susan Ann O'malley-larson is 1982922050 and her current mailing address is 2075 Lower Ridge Rd, Port Washington, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1982922050.
Provider's Profile
Full Name | Mr Susan Ann O'malley-larson |
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Gender | Female |
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Speciality | Licensed Practical Nurse |
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Location | 2075 Lower Ridge Rd, Port Washington, Wisconsin |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1982922050
- Provider Enumeration Date: 05/13/2010
- Last Update Date: 05/13/2010
Medical Identifiers
Medical identifiers for Mr Susan Ann O'malley-larson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1982922050 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164W00000X | Licensed Practical Nurse | 309598-031 (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. Mr Susan Ann O'malley-larson 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 |
Mr Susan Ann O'malley-larson, LPN 2075 Lower Ridge Rd, Port Washington, WI 53074-9674 Ph: (262) 284-0389 | Mr Susan Ann O'malley-larson, LPN 2075 Lower Ridge Rd, Port Washington, WI 53074-9674 Ph: (262) 284-0389 |
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