Individual
ASHLEY LARSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
411 W MILL ST, PAYNESVILLE, MN 56362-1436
(507) 430-2677
Mailing address
411 W MILL ST, PAYNESVILLE, MN 56362-1436
(507) 430-2677
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L072428-9
MN
Other
Enumeration date
02/28/2012
Last updated
02/28/2012
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