| Lance G Larsen, MD | |
|
1270 E Spruce Ave, Fresno, CA 93720-3312 | |
| (559) 290-7055 | |
| Not Available |
| Full Name | Lance G Larsen |
|---|---|
| Gender | Male |
| Speciality | Pain Management |
| Experience | 25 Years |
| Location | 1270 E Spruce Ave, Fresno, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821013962 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | A88814 (California) | Secondary |
| 2081P2900X | Physical Medicine & Rehabilitation - Pain Medicine | A88814 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Clovis Community Medical Center | Clovis, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Community Foundation Medical Group | 0345406294 | 267 |
| Entity Name | Sierra Pacific Orthopaedic Center Medical Group, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285669655 PECOS PAC ID: 8426941105 Enrollment ID: O20040205001011 |
| Entity Name | Community Foundation Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811258510 PECOS PAC ID: 0345406294 Enrollment ID: O20120723000387 |
| Mailing Address | Practice Location Address |
|---|---|
| Lance G Larsen, MD 7417 N Cedar Ave, Fresno, CA 93720-3637 Ph: (559) 436-0871 | Lance G Larsen, MD 1270 E Spruce Ave, Fresno, CA 93720-3312 Ph: (559) 290-7055 |
Mrs. Katrina Marie Slosman, PT, DPT Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 4770 W Herndon Ave Ste 103, Fresno, CA 93722 Phone: 559-450-6340 | |
Dr. Jamil Ahmed, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 6700 N 1st St Ste 114, Fresno, CA 93710 Phone: 559-697-4655 Fax: 559-827-4869 | |
Dr. Paul Ky, Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 6169 N Thesta St, Fresno, CA 93710 Phone: 559-435-1757 Fax: 559-435-1768 | |
Marla Ann Petriello, DO Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 1221 E Spruce Ave, Fresno, CA 93720 Phone: 872-231-3162 | |
Michael P. Azevedo, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 1805 E Fir Ave, Suite 102, Fresno, CA 93720 Phone: 559-325-3070 Fax: 559-325-3073 | |
John Kirby, MD Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 445 S Cedar Ave, Fresno, CA 93702 Phone: 559-459-5719 Fax: 559-459-6900 | |
Dr. Mark Algara Sison, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 1630 E Herndon Ave, Fresno, CA 93720 Phone: 559-256-5200 |