MR. Gregory Thomas Larson, LMP

NPI #1790974764 in Pullman, Washington

Provider Information

NPI Number: 1790974764
Entity Type: Individual
Name: MR. Gregory Thomas Larson, LMP
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Community Health Worker
Credential: LMP
Enumeration Date: Oct 16, 2007
Last Updated: Oct 16, 2007

Practice Location

Address: 167 NE KAMIAKEN ST
Address 2: (MEZZANINE)
City: Pullman
State: Washington
ZIP Code: 99163-2611
Phone: (509) 332-0555

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Health Worker	172V00000X	Primary

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