MRS. THERESA LARSEN (M.D.) – Internal Medicine Physician, NPI 1477551166

Internal Medicine Physician

MRS. THERESA LARSEN (M.D.) is a healthcare provider. based in Lake orion, Michigan. specializing in Internal Medicine Physician. They hold the professional credentials M.D.. They hold a License No. 4301407146 (MI). The NPI Number for MRS. THERESA LARSEN (M.D.) is 1477551166

Main info

Female

40 Years Of Experience

Accepts Medicare Assignment

Name

MRS. THERESA LARSEN (M.D.)

NPI

1477551166

Phone

(248) 693-5700

Address

1375 S LAPEER RD

Enumeration Date

7 July 2005

Last Update Date

3 October 2013

Doctor Profile

Medical School Name

WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE

Secondary Phone

2488140500

Graduation Year

1986 (40 years ago)

PAC ID

4284704446

Group Practice PAC ID

3577470442

Professional Enrollment ID

I20080530000779

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience59

Completeness75

Years active:20State licenses:1Digital endpointsOther names

Provider Addresses for MRS. THERESA LARSEN (M.D.)

1375 S LAPEER RD
STE 210
LAKE ORION, MI 483601421
Phone: (248) 693-5700
Fax: (248) 693-5715
Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48360)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.

PAC ID: 3577470442View full group profile

Name	Specialty	State
DR. RIBHU TUSHAR JHA (MD)	N E U R O S U R G E R Y	FL
GREGORY JOSEPH ROBKE (MD)	Internal Medicine	MA
DR. OLADEPO COLLINS FASORANTI (MBBS)	Family Practice	MN
MS. SUZANNE JEANNETTE FERREE (MD)	Family Practice	GA
JUDITH A JOHNSON (P.T.)	-	CA
DR. HARES AKBARY (MD)	Pain Management	GA
MYRON SIU (M.D.)	Internal Medicine	MA
DANIELLE ELIZABETH BOGGS (DPT)	-	OH
JEFFREY DAVID MARTENS (MD)	Internal Medicine	MA
DR. TODD STERLING ATKINSON (M.D.)	Orthopedic Surgery	FL