Individual
MARK STEVEN LARSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
326 WASHINGTON ST, NORWICH, CT 06360-2740
(860) 823-6337
Mailing address
68 S SERVICE RD, SUITE 350, MELVILLE, NY 11747-2354
(516) 945-3034
(516) 945-3131
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
001769
CT
Other
Enumeration date
02/13/2006
Last updated
08/02/2012
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