Provider Demographics
NPI:1528031028
Name:LARRISON, JAMES C (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:C
Last Name:LARRISON
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1115 WEBER STREET
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:LA
Mailing Address - Zip Code:70538-4214
Mailing Address - Country:US
Mailing Address - Phone:337-355-2314
Mailing Address - Fax:337-355-2335
Practice Address - Street 1:3617 HIGHWAY 70 S
Practice Address - Street 2:
Practice Address - City:PIERRE PART
Practice Address - State:LA
Practice Address - Zip Code:70339-4455
Practice Address - Country:US
Practice Address - Phone:985-252-6211
Practice Address - Fax:985-252-0006
Is Sole Proprietor?:No
Enumeration Date:2006-02-07
Last Update Date:2009-11-04
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
LA019912207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1695122Medicaid
LA1695122Medicaid
LA5H582Medicare PIN