Provider Demographics
NPI:1326094293
Name:SEARS, LARRY ANTHONY (DC)
Entity Type:Individual
Prefix:DR
First Name:LARRY
Middle Name:ANTHONY
Last Name:SEARS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7410 NEW LAGRANGE RD
Mailing Address - Street 2:SUITE 202
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40222
Mailing Address - Country:US
Mailing Address - Phone:502-425-6200
Mailing Address - Fax:502-425-6400
Practice Address - Street 1:7410 NEW LAGRANGE RD
Practice Address - Street 2:SUITE 202
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40222
Practice Address - Country:US
Practice Address - Phone:502-425-6200
Practice Address - Fax:502-425-6400
Is Sole Proprietor?:No
Enumeration Date:2006-05-25
Last Update Date:2014-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY4999111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor