Individual
DR. LYNN M LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
818 W KING ST STE 101, OWOSSO, MI 48867-2159
(989) 729-4961
(989) 729-4958
Mailing address
818 W KING ST STE 101, OWOSSO, MI 48867-2159
(989) 729-4961
(989) 729-4958
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
5101017147
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1104021765
—
MI
Enumeration date
06/15/2007
Last updated
10/16/2024
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