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Individual

MR. LARRY ALAN WALKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
ARNP, CRNA

Contact information

Practice address
173 MIDDLE ST, LANCASTER, NH 03584-3508
(603) 788-4911
(603) 788-5027
Mailing address
173 MIDDLE ST, LANCASTER, NH 03584-3508
(603) 788-4911
(603) 788-5027

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
052699-23-11
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1010332
VT
05
30342597
NH
Enumeration date
01/05/2006
Last updated
07/08/2007
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