Individual
LARS GOMOLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
414 E CHAPMAN RD, LUTZ, FL 33549-5779
(813) 235-4006
Mailing address
4829 DIAMONDS PALM LOOP, WESLEY CHAPEL, FL 33543-7160
(305) 773-6861
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
27042
FL
Other
Enumeration date
05/16/2022
Last updated
05/16/2022
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