Individual
ANNIE LAURIE LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
N6084 HAMMER RD, ALBANY, WI 53502-9323
(608) 206-0333
Mailing address
N6084 HAMMER RD, ALBANY, WI 53502-9323
(608) 206-0333
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
317927-31
WI
Other
Enumeration date
01/29/2015
Last updated
01/29/2015
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