Susan Larson, is a 
Speech-language Pathologist based in Bayport, Minnesota. Susan Larson is licensed to practice in Minnesota (license number 8579) and her current practice location is 
1022 Pioneer Trl, Bayport, Minnesota. She can be reached at her office (for appointments etc.) via phone at 
(651) 249-5705.
NPI number for Susan Larson is 1578934741 and her current mailing address is 1022 Pioneer Trl, Bayport, Minnesota. She 
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1578934741.
				
				
				
				
				
		 
		
		 
Healthcare Provider's Profile
		
			
			
			| Full Name | Susan Larson | 
|---|
| Gender | Female | 
|---|
| Speciality | Speech-language Pathologist | 
|---|
| Location | 1022 Pioneer Trl, Bayport, Minnesota | 
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. | 
|---|
			
			 
			
						  NPI Data:
			
			- NPI Number: 1578934741
- Provider Enumeration Date: 10/14/2015
- Last Update Date: 04/21/2017
 
		 
		 
Medical Identifiers
		Medical identifiers for Susan Larson such as npi, medicare ID, medicare PIN, medicaid, etc.
		
		| Identifier | Type | State | Issuer | 
|---|
		| 1578934741 | NPI | - | NPPES | 
		
		 
Medical Taxonomies and Licenses
		
		| Taxonomy | Type | License (State) | Status | 
|---|
		| 235Z00000X | Speech-language Pathologist | 8579 (Minnesota) | 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. Susan 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 | 
|---|
		| Susan Larson, 1022 Pioneer Trl,
 Bayport, MN 55003-1608
 Ph: (651) 249-5705
 | Susan Larson, 1022 Pioneer Trl,
 Bayport, MN 55003-1608
 Ph: (651) 249-5705
 | 
		
		 
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