Individual
LARS DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP
Contact information
Practice address
800 E 28TH ST, MINNEAPOLIS, MN 55407-3723
(612) 863-4000
Mailing address
2828 CHICAGO AVE, SUITE 300, MINNEAPOLIS, MN 55407-1544
(612) 871-7639
(612) 872-0302
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R177813-7
MN
Other
Enumeration date
09/05/2014
Last updated
09/05/2014
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