Individual
ALLISON R LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5530 WISCONSIN AVE STE 730, CHEVY CHASE, MD 20815
(301) 951-2400
(301) 951-2401
Mailing address
5530 WISCONSIN AVE STE 660, CHEVY CHASE, MD 20815-4464
(301) 951-2400
(301) 951-2401
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
0101273306
VA
207N00000X
Dermatology Physician
D0092652
MD
207N00000X
Dermatology Physician
Primary
MD200001351
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110094358A
—
MA
Enumeration date
06/04/2008
Last updated
08/07/2023
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