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Individual
LARS R. NEWSOME
Active
Individual
LARS R. NEWSOME
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
C42281
CA
207LP2900X
Pain Medicine (Anesthesiology) Physician
C42281
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00C422810
BLUE SHIELD OF CALIFORNIA
CA
05
—
00C422810
—
CA
Enumeration date
07/08/2006
Last updated
12/06/2007
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