Individual
MS. TERI LEE LARSON-JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
420 E 1ST ST, DULUTH, MN 55805-1901
(218) 786-8364
(320) 229-5160
Mailing address
400 E 3RD ST, DULUTH, MN 55805-1951
(218) 786-8364
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9190
MN
Other
Enumeration date
02/23/2006
Last updated
09/25/2023
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