Provider Demographics
NPI:1891591079
Name:ARURANG, LARSON L
Entity type:Individual
Prefix:
First Name:LARSON
Middle Name:L
Last Name:ARURANG
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15495 VAN DORN ST
Mailing Address - Street 2:
Mailing Address - City:WALTON
Mailing Address - State:NE
Mailing Address - Zip Code:68461-9653
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:15495 VAN DORN ST
Practice Address - Street 2:
Practice Address - City:WALTON
Practice Address - State:NE
Practice Address - Zip Code:68461-9653
Practice Address - Country:US
Practice Address - Phone:402-730-5422
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-19
Last Update Date:2025-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker