Individual
SAMUEL ELLIS LARN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3429 W 31ST AVE APT 3, DENVER, CO 80211-3647
(323) 428-7974
Mailing address
3429 W 31ST AVE APT 3, DENVER, CO 80211-3647
(323) 428-7974
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
—
—
Other
Enumeration date
10/16/2023
Last updated
10/16/2023
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