Individual
JOHANNA E LARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
8701 SHOAL CREEK BLVD STE 302, AUSTIN, TX 78757-6809
(512) 731-4995
Mailing address
8701 SHOAL CREEK BLVD STE 302, AUSTIN, TX 78757-6809
(512) 731-4995
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
TX
Other
Enumeration date
05/13/2008
Last updated
05/13/2008
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