MRS. Lisa Carol Larson, PAC

NPI #1417945940 in Chaska, Minnesota

Provider Information

NPI Number
1417945940
Entity Type
Individual
Name
MRS. Lisa Carol Larson, PAC
Gender
Not Specified
Sole Proprietor
Not Answered
Primary Specialty
Physician Assistant
Credential
PAC
Enumeration Date
Oct 10, 2005
Last Updated
Jul 8, 2007

Practice Location

Address
822 YELLOW BRICK RD
City
Chaska
ZIP Code
55318-2152
Phone
(952) 448-3303

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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