Provider Demographics
NPI:1457029654
Name:ANNA LARIONOVA MD, PLLC
Entity Type:Organization
Organization Name:ANNA LARIONOVA MD, PLLC
Other - Org Name:HEALTH SENSE, MD
Other - Org Type:Other Name
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:LARIONOVA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:303-525-0762
Mailing Address - Street 1:PO BOX 461223
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80046-1223
Mailing Address - Country:US
Mailing Address - Phone:303-525-0717
Mailing Address - Fax:
Practice Address - Street 1:10555 E DARTMOUTH AVE STE 210
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80014-2633
Practice Address - Country:US
Practice Address - Phone:720-500-4093
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-01
Last Update Date:2022-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1770018749OtherPERSONAL NPI