Individual
LAWRENCE O LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1907 W SYCAMORE, KOKOMO, IN 46901
(765) 449-2732
Mailing address
541 OTIS BOWEN DR, MUNSTER, IN 46321-4158
(219) 934-5300
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
01046176
IN
Other
Enumeration date
06/21/2006
Last updated
03/26/2008
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