Individual ProviderAdrian LarsenChiropractorChiropractic ProvidersPractice Address1875 N Lakes Pl, Meridian, ID 83646-1921(208) 412-4158PECOS EnrollmentBased on the most recent information from CMS, provider Adrian Larsen does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1538240627Provider TypeIndividualFull NameLarsen, AdrianTitleDr.CredentialD.C.GenderMaleSole ProprietorNoEnumeration Date10/17/2006Last Updated9/7/2010Contact InformationPractice LocationPractice Address1875 N Lakes Pl, Meridian, ID 83646-1921Phone(208) 412-4158FaxUnlisted FaxMailing LocationMailing Address1875 N Lakes Pl, Meridian, ID 83646-1921PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode111N00000XPrimaryDescriptionChiropractorChiropractic ProvidersLicenseCHIA1086IdahoCode171100000XDescriptionAcupuncturistOther Service ProvidersLicenseACC-192Idaho