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Individual

LYNN ANN LARSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
150 DUNCAN RD, BUCKEYE, WV 24924-9037
(304) 799-7400
(304) 799-2276
Mailing address
150 DUNCAN RD, BUCKEYE, WV 24924-9037
(304) 799-7400
(304) 799-2276

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
01190
WV
363AM0700X
Medical Physician Assistant
Primary
4904
AZ

Other

Enumeration date
07/16/2006
Last updated
01/05/2023
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