Provider Demographics
NPI:1548271216
Name:POSNER, LARRY STEVEN (MD)
Entity type:Individual
Prefix:DR
First Name:LARRY
Middle Name:STEVEN
Last Name:POSNER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1100 PEAR TREE LANE
Mailing Address - Street 2:
Mailing Address - City:NAPA
Mailing Address - State:CA
Mailing Address - Zip Code:94558-6446
Mailing Address - Country:US
Mailing Address - Phone:707-258-8100
Mailing Address - Fax:707-258-0734
Practice Address - Street 1:1100 PEAR TREE LANE
Practice Address - Street 2:
Practice Address - City:NAPA
Practice Address - State:CA
Practice Address - Zip Code:94558-6446
Practice Address - Country:US
Practice Address - Phone:707-258-8100
Practice Address - Fax:707-258-0734
Is Sole Proprietor?:No
Enumeration Date:2006-08-10
Last Update Date:2020-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG52218174400000X, 207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G522183OtherMEDICARE (PTAN)
CA00G522180Medicaid
CA00G522183OtherMEDICARE (PTAN)