Provider Demographics
NPI:1437373230
Name:LARKIN, ELEANOR L (LMT)
Entity Type:Individual
Prefix:
First Name:ELEANOR
Middle Name:L
Last Name:LARKIN
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:88 PHELPS ST
Mailing Address - Street 2:
Mailing Address - City:LYONS
Mailing Address - State:NY
Mailing Address - Zip Code:14489-1529
Mailing Address - Country:US
Mailing Address - Phone:585-545-0351
Mailing Address - Fax:315-946-5325
Practice Address - Street 1:2349 MONROE AVE
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14618-3025
Practice Address - Country:US
Practice Address - Phone:585-545-0351
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY013174175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath