Individual
JEANNE N LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 KACEY CT, SUITE 101, MECHANICSBURG, PA 17055-9223
(717) 591-0961
(717) 591-0980
Mailing address
3 WALNUT ST, SUITE 206, LEMOYNE, PA 17043-1168
(717) 761-0208
(717) 761-2023
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD427429
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101475940
—
PA
Enumeration date
09/23/2005
Last updated
09/15/2009
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