Larissa Larson

NPI #1245921741 in Provo, Utah

Provider Information

NPI Number: 1245921741
Entity Type: Individual
Name: Larissa Larson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Case Manager/Care Coordinator
Enumeration Date: May 16, 2023
Last Updated: Aug 19, 2025

Practice Location

Address: 1161 E 300 N
City: Provo
State: Utah
ZIP Code: 84606-3539
Phone: (801) 373-4760

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Manager/Care Coordinator	171M00000X	Primary

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