IndividualActive
Dustin Larsen
NPI 1699194530 · Dermatology Physician · Coeur D Alene, ID
Provider details
- NPI number
- 1699194530
- Entity type
- Individual
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- No
- License
- M-13761 (ID)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
2199 N Merrit Crk Loop
Coeur D Alene, ID 83814-4949
Phone: (208) 665-7546
Approximate (ZIP-level) locationGet directions
Mailing address
1899 Tate Blvd Se # 2110
Hickory, NC 28602-4200
Registry dates
- Enumerated
- 2014-04-08
- Last updated
- 2025-05-08
- Certified
- 2025-05-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.