Organization
L ROYCE LARSEN MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. L ROYCE LARSEN MD (OWNER)
(217) 446-5900
Entity
Organization
Contact information
Practice address
800 N LOGAN AVE, SUITE 206, DANVILLE, IL 61832-3741
(217) 446-5900
(217) 446-3810
Mailing address
800 N LOGAN AVE, SUITE 206, DANVILLE, IL 61832-3741
(217) 446-5900
(217) 446-3810
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
IL
Other
Enumeration date
03/13/2008
Last updated
03/13/2008
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