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Individual

ASHLYN LARSEN LANFORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
X

Contact information

Practice address
6965 CUMBERLAND GAP PKWY, HARROGATE, TN 37752-8245
(423) 869-3611
Mailing address
127 CEDAR SWAMP RD, TOLLAND, CT 06084-3611
(860) 874-8866

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary

Other

Enumeration date
08/28/2025
Last updated
08/28/2025
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