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Individual

SARA KATHLEEN LARSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1201 S GRAND BLVD, SAINT LOUIS, MO 63104-1016
(314) 257-8000
Mailing address
1817 ENOLA CT, SAINT LOUIS, MO 63122-3422
(417) 631-9963

Taxonomy

Speciality
Code
Description
License number
State
2086S0127X
Trauma Surgery Physician
Primary
2026004900
MO
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
03/30/2020
Last updated
06/11/2026
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