Tracey Larrison

NPI #1699195792 in Paducah, Kentucky

Provider Information

NPI Number
1699195792
Entity Type
Individual
Name
Tracey Larrison
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Specialist
Enumeration Date
Apr 16, 2014
Last Updated
Apr 16, 2014

Practice Location

Address
425 BROADWAY ST
ZIP Code
42001-0713
Phone
(270) 442-7121

Specialties & Taxonomy Codes

Specialty
Specialist

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