Heather Marie Larson, PA

NPI #1003249269 in Orchard Park, New York

Provider Information

NPI Number
1003249269
Entity Type
Individual
Name
Heather Marie Larson, PA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant
Credential
PA
Enumeration Date
Aug 12, 2013
Last Updated
Aug 12, 2013

Practice Location

Address
3065 SOUTHWESTERN BLVD
Address 2
SUITE 100
ZIP Code
14127-1239
Phone
(716) 677-9220

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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