Provider Demographics
NPI:1578768339
Name:LARSON, SHARON BETH (DO)
Entity Type:Individual
Prefix:DR
First Name:SHARON
Middle Name:BETH
Last Name:LARSON
Suffix:
Gender:F
Credentials:DO
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Mailing Address - Street 1:200 HAWKINS DR
Mailing Address - Street 2:DEPARTMENT OF SURGERY
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52242-1009
Mailing Address - Country:US
Mailing Address - Phone:319-356-3440
Mailing Address - Fax:319-356-3891
Practice Address - Street 1:200 HAWKINS DR
Practice Address - Street 2:DEPARTMENT OF SURGERY
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52242-1009
Practice Address - Country:US
Practice Address - Phone:319-356-3440
Practice Address - Fax:319-356-3891
Is Sole Proprietor?:No
Enumeration Date:2007-06-20
Last Update Date:2022-11-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TN5031208G00000X
MS30877208G00000X
NCDO 04934208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)