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Individual

DR. ANDREW LARSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
243 CHARLES ST, BOSTON, MA 02114-3002
(617) 573-3654
Mailing address
4900 W SUNSET BLVD, FL 6, LOS ANGELES, CA 90027-5814
(617) 573-3654

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
283221
MA
207Y00000X
Otolaryngology Physician
Primary
A148212
CA

Other

Enumeration date
04/06/2015
Last updated
08/09/2022
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