Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mark R Larose, MD

Individual provider Obstetrics & Gynecology Physician · NPI 1972682680

Mark R Larose, MD is an Obstetrics/Gynecology in Waconia, Minnesota. Graduated from Saint Louis University School of Medicine in 1988, 38 years ago. Practices with Lakeview Clinic, Ltd, a 53-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
38
Trained at
Saint Louis University School of Medicine
Licensed in
MN
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

424 W State Highway 5
Waconia, MN 55387-1723
Phone: (952) 442-4461
Fax: (952) 442-4419
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence 41390 (MN)

Record details

NPI number1972682680
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 3, 2006
Last updated in NPPESAugust 15, 2012
Mailing address424 W State Highway 5, Waconia, MN 55387-1723

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolSAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Graduated 1988 (38 years in practice)
Group practice Lakeview Clinic, Ltd. — 53 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Waconia