Individual
LINDSAY LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
400 W 30TH ST, LOS ANGELES, CA 90007-3320
(213) 284-3200
Mailing address
3243 MOUNTAIN VIEW AVE, LOS ANGELES, CA 90066-1042
(802) 461-7284
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95008805
CA
Other
Enumeration date
04/09/2018
Last updated
04/09/2018
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