Individual
MR. LARRY L HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
602 GRAYLING LN, MONROE, LA 71202-3120
(318) 325-4502
Mailing address
602 GRAYLING LN, MONROE, LA 71202-3120
(318) 325-4502
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
090138
LA
Other
Enumeration date
10/16/2009
Last updated
10/30/2009
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