Individual
LISA LARSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
90 PACKARD RD, ARTHUR, NE 69121-8613
(308) 764-7072
Mailing address
90 PACKARD RD, ARTHUR, NE 69121-8613
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
—
—
Other
Enumeration date
02/05/2025
Last updated
02/05/2025
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