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Individual

MICHELE C LARSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
100 DUKE HEALTH CARY PL STE 210, CARY, NC 27519-6760
(919) 385-4650
Mailing address
100 DUKE HEALTH CARY PL STE 210, CARY, NC 27519-6760
(919) 385-4650

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
36470
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
51059
BCBS
05
7951059
NC
01
A1542
MEDCOST
Enumeration date
11/29/2006
Last updated
01/30/2024
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