Individual
MS. LUCY RICARDO LARSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
202 TURKEYSAG TRAIL, PALMYRA, VA 22963
(434) 591-0900
(866) 836-8883
Mailing address
33 TIFFANY LANE, FABER, VA 22938
(434) 361-1518
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
0121000551
VA
Other
Enumeration date
05/18/2009
Last updated
05/18/2009
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