DR. Wayne Larson, M.D,

NPI #1679792881 in Lakewood, Washington

Provider Information

NPI Number: 1679792881
Entity Type: Individual
Name: DR. Wayne Larson, M.D,
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: M.D,
Enumeration Date: Apr 25, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 6210 75TH ST W
Address 2: SUITE A-200
City: Lakewood
State: Washington
ZIP Code: 98499-8303
Phone: (253) 581-2261

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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