MRS. Theresa Larsen, M.D.

NPI #1477551166 in Lake Orion, Michigan

Provider Information

NPI Number: 1477551166
Entity Type: Individual
Name: MRS. Theresa Larsen, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine
Credential: M.D.
Enumeration Date: Jul 7, 2005
Last Updated: Oct 3, 2013

Practice Location

Address: 1375 S LAPEER RD
Address 2: STE 210
City: Lake Orion
State: Michigan
ZIP Code: 48360-1421
Phone: (248) 693-5700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary
Pediatrics	208000000X

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