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Individual
DR. LARS THESTRUP
Active
Individual
DR. LARS THESTRUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
0101240821
VA
207P00000X
Emergency Medicine Physician
2007-00434
NC
207P00000X
Emergency Medicine Physician
Primary
N2839
TX
2085U0001X
Diagnostic Ultrasound Physician
2007-00434
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
145WC
NCBCBS
NC
05
—
5906799
—
NC
05
—
N0043B
—
SC
Enumeration date
01/26/2007
Last updated
03/10/2020
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