Individual
L. ROYCE LARSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1200 E COLUMBIA AVE, COLVILLE, WA 99114-3354
(509) 684-3701
(509) 684-5817
Mailing address
PO BOX 421, LIBERTY LAKE, WA 99019-0421
(866) 747-2455
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
036058337
IL
208600000X
Surgery Physician
Primary
MD60528249
WA
Other
Enumeration date
07/19/2006
Last updated
03/26/2015
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