Johanna E Larson, LAC

NPI #1093982662 in Austin, Texas

Provider Information

NPI Number: 1093982662
Entity Type: Individual
Name: Johanna E Larson, LAC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Acupuncturist
Credential: LAC
Enumeration Date: May 13, 2008
Last Updated: May 13, 2008

Practice Location

Address: 8701 SHOAL CREEK BLVD STE 302
City: Austin
State: Texas
ZIP Code: 78757-6809
Phone: (512) 731-4995

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Acupuncturist	171100000X	Primary

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