Loann Kieulam Larsen

NPI #1902455470 in Henderson, Nevada

Provider Information

NPI Number: 1902455470
Entity Type: Individual
Name: Loann Kieulam Larsen
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pediatrics
Enumeration Date: Sep 8, 2019
Last Updated: Sep 8, 2019

Practice Location

Address: 6301 MOUNTAIN VISTA ST
City: Henderson
State: Nevada
ZIP Code: 89014-2364
Phone: (702) 998-9201

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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