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Individual

MR. LORRY JAMES LARSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
49 DRUMM ST, SAN FRANCISCO, CA 94111
(415) 982-8380
(415) 982-2810
Mailing address
148 CLAY AVE, SOUTH SAN FRANCISCO, CA 94080
(415) 982-8380
(415) 982-2810

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
A24981
CA

Other

Enumeration date
12/12/2006
Last updated
07/08/2007
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