Provider Demographics
NPI:1689889982
Name:CROMWELL, LARRY E (ND)
Entity Type:Individual
Prefix:DR
First Name:LARRY
Middle Name:E
Last Name:CROMWELL
Suffix:
Gender:M
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 N WASHINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:EMMETT
Mailing Address - State:ID
Mailing Address - Zip Code:83617-2973
Mailing Address - Country:US
Mailing Address - Phone:208-398-7000
Mailing Address - Fax:
Practice Address - Street 1:110 N WASHINGTON AVE
Practice Address - Street 2:
Practice Address - City:EMMETT
Practice Address - State:ID
Practice Address - Zip Code:83617-2973
Practice Address - Country:US
Practice Address - Phone:208-398-7000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-11
Last Update Date:2024-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath