Individual
MS. ELIZABETH S LARSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1 MEDICAL CENTER DR, DARTMOUTH HITCHCOCK MEDICAL CENTER, LEBANON, NH 03756-1000
(603) 448-1941
(603) 448-6059
Mailing address
23 HILLCREST DR, LEBANON, NH 03766-1856
(603) 448-5302
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
169
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30332163
—
NH
Enumeration date
11/20/2006
Last updated
07/08/2007
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