Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Lucille E Kanjer-Larson, MD

Individual provider Pediatrics Physician · NPI 1225010358

Dr. Lucille E Kanjer-Larson, MD is a Pediatrics Physician in Muncie, Indiana. Licensed in Indiana and Massachusetts. Registered with an NPI since 2005.

Licensed in
IN, MA
In the registry since
2005
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

205 N Tillotson Ave
Muncie, IN 47304-3900
Phone: (765) 291-5437
Fax: (765) 284-5387
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 01092632A (IN)
Pediatrics Physician Taxonomy 208000000X · Licence 161078 (MA)

Record details

NPI number1225010358
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 15, 2005
Last updated in NPPESMay 14, 2024
Certification dateMarch 22, 2024
Mailing address205 N Tillotson Ave, Muncie, IN 47304-3900

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