1. Home
  2. Directory
  3. New York
  4. Oswego
  5. Licensed Practical Nurse
  6. NPI Profile

MRS. MALLORY MARIE LARSON LPN
NPI 1942645148
Licensed Practical Nurse in Oswego, NY

Active since May 02, 2013
300 STATE ROUTE 104, SUITE 1, OSWEGO, NY 13126(315) 342-0030(315) 216-6669 Get Directions Write a Review

NPPES record last updated: March 31, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Mallory Marie Larson Lpn NPPES

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

MRS. MALLORY MARIE LARSON LPN (NPI 1942645148) is an individual licensed practical nurse in Oswego, New York, licensed in New York (308264) and active in the NPI registry since May 2013.

NPPES Registry Identity

NPI1942645148
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameMRS. MALLORY MARIE LARSONCredential: LPN
Location Address300 STATE ROUTE 104, SUITE 1Oswego, NY 13126-2956
Mailing Address70 Hurlbut RdMexico, NY 13114-4256 · (906) 399-5746
Phone(315) 342-0030
Fax(315) 216-6669
Sole ProprietorNo
Enumeration DateMay 2, 2013
Last NPPES UpdateMarch 31, 2014
✔ NPI 1942645148 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in NY · 308264
Definition
A licensed practical nurse 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.
300 STATE ROUTE 104, Oswego, NY 13126
Open in Google Maps ↗

Other Providers at the Same Location NPPES 7

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

PADMA RAM MD
Internal Medicine
300 STATE ROUTE 104, SUITE 1
OSWEGO, NY 13126
Oswego County (315) 342-0030
NABINA BHATTARAI
Physician Assistant
300 STATE ROUTE 104
OSWEGO, NY 13126
Oswego County (315) 342-0030
DR. PADMA RAM MEDICAL SERVICES, LLC
Clinic/Center (Rural Health)
300 STATE ROUTE 104
OSWEGO, NY 13126
Oswego County (315) 342-0030
LAKE ONTARIO PROMPT MEDICAL CARE, PLLC
Clinic/Center (Urgent Care)
300 STATE ROUTE 104, SUITE 2
OSWEGO, NY 13126
Oswego County (315) 216-4036
DANIELLE MULCAHEY L.P.N
Licensed Practical Nurse
300 STATE ROUTE 104, SUITE 1
OSWEGO, NY 13126
Oswego County (315) 342-0030
DR. PADMA RAM MEDICAL SERVICES, LLC
Internal Medicine
300 STATE ROUTE 104
OSWEGO, NY 13126
Oswego County (315) 342-0030
KATRINA L BONNIE NP
Nurse Practitioner (Family)
300 STATE ROUTE 104
OSWEGO, NY 13126
Oswego County (315) 342-0030

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 Mallory Larson's NPI number?

The NPI number for Mallory Larson is 1942645148. It was assigned to this individual provider in the NPPES registry on May 2, 2013.

Where is Mallory Larson located?

Mallory Larson practices at 300 State Route 104 Suite 1, Oswego, NY 13126. The listed phone number is (315) 342-0030.

What is Mallory Larson's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Mallory Larson was last updated on March 31, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.