Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1942645148 Individual Practitioner Female Practitioner

Mallory Marie Larson , LPN

Licensed Practical Nurse • Oswego, NY

Professional Overview & Biography Verified Profile Summary

Mallory Larson, LPN is a registered healthcare professional specializing in Licensed Practical Nurse in Oswego, NY. Practice services are available at 300 STATE ROUTE 104 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

300 State Route 104
Suite 1

Oswego, NY 131262956

Telephone 3153420030
Fax 3152166669
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Oswego, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 8.0 Yrs
Regional Practice Density
77 Specialists

Practicing in Oswego, NY (23738 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License NY 308264

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
Dr. Padma Ram , MD

Internal Medicine

NPI 1003928953

Doctor of Medicine (M.D.)

Nabina Bhattarai

Physician Assistant

NPI 1316759061
Ruth Guzman , NP

Nurse Practitioner - Family

NPI 1346960556

Nurse Practitioner

Danielle Mulcahey , LPN

Licensed Practical Nurse

NPI 1417363979

Licensed Practical Nurse

Katrina Bonnie , NP

Nurse Practitioner - Family

NPI 1942615026

Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active March 31, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location March 31, 2014

Registered at 300 STATE ROUTE 104, SUITE 1, OSWEGO, NY 131262956 (Tel: 3153420030)

📍
Updated Business Mailing Address March 31, 2014

Registered at 70 HURLBUT RD, MEXICO, NY 131144256 (Tel: 9063995746)

👤
Provider Name / Credentials Updated March 31, 2014

Recorded as MALLORY LARSON, LPN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 31, 2014

Licensed Practical Nurse (License #308264 in NY)

🟢
Initial NPI Registration & Enumeration May 02, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1942645148
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 02, 2013
Last Update: March 31, 2014
Sole Proprietor: No

Mailing Address

70 Hurlbut Rd

Mexico, NY 131144256

Phone: 9063995746

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.