LARRY L. PACK MD
NPI 1477534774
Orthopaedic Surgery in Fenton, MI

Active since November 14, 2005
2420 OWEN RD, STE C, FENTON, MI 48430(810) 750-5800(810) 750-5809 Get Directions Write a Review

NPPES record last updated: July 7, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Larry L. Pack Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LARRY L. PACK MD (NPI 1477534774) is an individual orthopaedic surgery provider in Fenton, Michigan, licensed in Michigan (4301035400) and active in the NPI registry since November 2005.

NPPES Registry Identity

NPI1477534774
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameLARRY L. PACKCredential: MD
Location Address2420 OWEN RD, STE CFenton, MI 48430-3417
Mailing AddressPo Box 590Grand Blanc, MI 48480-0590 · (810) 750-5800 · Fax (810) 750-5809
Fax(810) 750-5809
Sole ProprietorYes
Enumeration DateNovember 14, 2005
Last NPPES UpdateJuly 7, 2010
NPI 1477534774 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in MI · 4301035400
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
2420 OWEN RD, Fenton, MI 48430

Other Identifiers 3

Medicare UPINB42902
Medicare PINOP36570MI
Medicaid4940460MI

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Emergency Medicine
2420 OWEN RD
FENTON, MI 48430
Family Medicine
2420 OWEN RD
FENTON, MI 48430
Physician Assistant
2420 OWEN RD
FENTON, MI 48430
Family Medicine
2420 OWEN RD
FENTON, MI 48430
Pharmacist
2420 OWEN RD
FENTON, MI 48430
Dentist (Orthodontics and Dentofacial Orthopedics)
2420 OWEN RD, SUITE E
FENTON, MI 48430
Orthopaedic Surgery
2420 OWEN RD, STE C
FENTON, MI 48430
Internal Medicine
2420 OWEN RD
FENTON, MI 48430

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Larry Pack's NPI number?

The NPI number for Larry Pack is 1477534774. It was assigned to this individual provider in the NPPES registry on November 14, 2005.

Where is Larry Pack located?

Larry Pack practices at 2420 Owen Rd Ste C, Fenton, MI 48430. The listed phone number is (810) 750-5800.

What is Larry Pack's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

When was this NPI record last updated?

The NPPES record for Larry Pack was last updated on July 7, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.