Individual
ALECIA LEE LARSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6401 FRANCE AVE S, EDINA, MN 55435-2104
(952) 924-5000
(952) 924-5382
Mailing address
1025 MARSH ST, MANKATO, MN 56001-4752
(507) 345-2649
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10530
MN
363AS0400X
Surgical Physician Assistant
1221
MN
Other
Enumeration date
11/06/2008
Last updated
08/23/2019
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