Individual
ANDREW W LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 SAINT MARY PL, SHREVEPORT, LA 71101-4343
(337) 781-9522
Mailing address
1 SAINT MARY PL, SHREVEPORT, LA 71101-4343
(337) 781-9522
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD.205360
LA
Other
Enumeration date
05/07/2008
Last updated
06/19/2012
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