Provider Demographics
NPI:1598774358
Name:MCNEEL, LARRY EUGENE (CO)
Entity Type:Individual
Prefix:MR
First Name:LARRY
Middle Name:EUGENE
Last Name:MCNEEL
Suffix:
Gender:M
Credentials:CO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1229 HARDWOOD TRL
Mailing Address - Street 2:
Mailing Address - City:BURNS
Mailing Address - State:TN
Mailing Address - Zip Code:37029-9043
Mailing Address - Country:US
Mailing Address - Phone:615-797-9835
Mailing Address - Fax:
Practice Address - Street 1:1310 24TH AVE SOUTH
Practice Address - Street 2:PROSTHETICS 3G124 DEPT. OF VETERAN AFFAIRS
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37212
Practice Address - Country:US
Practice Address - Phone:615-327-4751
Practice Address - Fax:615-321-6337
Is Sole Proprietor?:No
Enumeration Date:2006-08-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOrthotist