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Individual

LARS STEVENSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1760 OLD MEADOW RD STE 205, MC LEAN, VA 22102-4330
(703) 810-5214
(703) 810-5475
Mailing address
PO BOX 715868, PHILADELPHIA, PA 19171-5868
(804) 915-1910
(804) 968-1803

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305216771
VA

Other

Enumeration date
09/11/2024
Last updated
09/13/2024
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