Betty Larsen, PAC

NPI #1679894299 in Park Rapids, Minnesota

Provider Information

NPI Number: 1679894299
Entity Type: Individual
Name: Betty Larsen, PAC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PAC
Enumeration Date: Jun 17, 2010
Last Updated: Jul 24, 2012

Practice Location

Address: 705 PLEASANT AVE S
City: Park Rapids
State: Minnesota
ZIP Code: 56470-1440
Phone: (218) 732-2800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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