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Individual
LARRY J FOSTER
Active
Individual
LARRY J FOSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
0101233194
VA
207RP1001X
Pulmonary Disease Physician
Primary
13040
TN
Other
Enumeration date
05/19/2006
Last updated
07/27/2012
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