Tanya Rene Larson, LMP
NPI #1356522049 in Burlington, Washington
Provider Information
- NPI Number
- 1356522049
- Entity Type
- Individual
- Name
- Tanya Rene Larson, LMP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist
- Credential
- LMP
- Enumeration Date
- Nov 21, 2007
- Last Updated
- Dec 16, 2014
Practice Location
- Address
- 120 N. OAK ST
- City
- Burlington
- State
- Washington
- ZIP Code
- 98233
- Phone
- (425) 319-6809
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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