Lyle Wilbur Larson

NPI #1053401919 in Seattle, Washington

Provider Information

NPI Number: 1053401919
Entity Type: Individual
Name: Lyle Wilbur Larson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Enumeration Date: Oct 13, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: UNIVERSITY OF WASHINGTON MEDICAL CTR
Address 2: 1959 NE PACIFIC ST
City: Seattle
State: Washington
ZIP Code: 98195-6043
Phone: (206) 598-4300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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