Lisa Carol Larson, PAC
Physician Assistant · Chaska, MN
Practice location
822 Yellow Brick RdChaska, MN 55318-2152
- Phone
- (952) 448-3303
- Fax
- (952) 448-4409
NPI record
- NPI
- 1417945940
- Entity type
- Individual (Type 1)
- Enumeration date
- October 10, 2005
- Last updated
- July 13, 2026
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X |
9622 | MN |
About Lisa Larson
Lisa Carol Larson, PAC is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 822 Yellow Brick Rd, Chaska, MN 55318-2152. The NPI number 1417945940 was assigned on October 10, 2005 and the record was last updated on July 13, 2026.
Lisa Larson lists a license in the registry: #9622 (MN) for Physician Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Lisa Carol Larson, PAC?
The NPI number is 1417945940.
What is the phone number of Lisa Larson?
The phone number listed for the practice location is (952) 448-3303.
Where is Lisa Larson located?
822 Yellow Brick Rd, Chaska, MN 55318-2152.
What is the taxonomy code for Lisa Larson?
The primary taxonomy code is 363A00000X – Physician Assistant.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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