MRS. Shelly Lynn Larson, PA-C
NPI #1982690145 in Saint Paul, Minnesota
Provider Information
- NPI Number
- 1982690145
- Entity Type
- Individual
- Name
- MRS. Shelly Lynn Larson, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Sep 23, 2005
- Last Updated
- May 14, 2012
Practice Location
- Address
- 4480 CENTERVILLE RD
- City
- Saint Paul
- State
- Minnesota
- ZIP Code
- 55127-3674
- Phone
- (651) 484-2724
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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