NPI 1063674588

Rebecca J Larson, MD

Practitioner MOHS-Micrographic Surgery Physician Springfield, IL

Practice location

Address: 751 N Rutledge St Suite 2300, Springfield, IL 62702-4968
Phone: (217) 545-8000
Fax: (217) 545-4485
Mailing address: PO Box 19644, Springfield, IL 62794-9644

Registered specialties (2)

MOHS-Micrographic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207ND0101X Licence 036-132957 (IL)

Other Dermatology providers in Illinois →

Dermatology Physician

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence 036-132957 (IL)

Registry record

NPI: 1063674588
Entity type: Individual
Sex (as registered): Female
NPI issued: 26 Jun 2008
Record last updated: 22 Oct 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.