NPI 1336149483 · live from the CMS NPI Registry
Thomas Jennings Larson, DPM
Podiatrist in Omaha, NE. National Provider Identifier 1336149483, active.
NPI record
| NPI | 1336149483 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Podiatrist 213E00000X |
| Practice location | 2821 S 87th Ave, Omaha, NE 68124 |
| Practice phone | 402-391-0960 |
| Enumerated | July 29, 2005 |
| Last updated | February 20, 2008 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist primary | 213E00000X | 157 (NE) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.