Organization
RICHARD LARSON CHIROPRACTIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD THOMAS LARSON II D.C. (OWNER)
(763) 473-1299
Entity
Organization
Contact information
Practice address
1115 VICKSBURG LN N, SUITE 20, PLYMOUTH, MN 55447-3215
(763) 473-1299
Mailing address
1115 VICKSBURG LN N, SUITE 20, PLYMOUTH, MN 55447-3215
(763) 473-1299
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5059
MN
Other
Enumeration date
04/26/2009
Last updated
04/26/2009
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