Individual
ANDREW LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
400 HIGHLAND AVE, LEWISTOWN, PA 17044-1167
(717) 248-5411
Mailing address
625 W 5TH ST, LEWISTOWN, PA 17044-2028
(717) 250-0512
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA064723
PA
Other
Enumeration date
06/14/2023
Last updated
10/07/2025
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