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Individual

DR. LARA LEE LARSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LSW, PSYD

Contact information

Practice address
8127 MESA DR., STE B206-256, AUSTIN, TX 78759
(808) 383-1785
(808) 564-0077
Mailing address
8127 MESA DR., STE B206-256, AUSTIN, TX 78759
(808) 383-1785
(808) 564-0077

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
39386
TX
103T00000X
Psychologist
Primary
HI-1372
HI
103TC0700X
Clinical Psychologist
PSY 1372
HI

Other

Enumeration date
12/31/2012
Last updated
04/30/2026
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