Individual
ABIGAIL LYNN LARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2920 N CASCADE AVE STE 300, COLORADO SPRINGS, CO 80907-6262
(719) 636-1201
(719) 636-1326
Mailing address
2920 N CASCADE AVE STE 300, COLORADO SPRINGS, CO 80907-6262
(719) 636-1201
(719) 636-1326
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA.0007770
CO
363AM0700X
Medical Physician Assistant
Primary
PA.0007770
CO
Other
Enumeration date
01/31/2023
Last updated
12/11/2024
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