Individual
DR. ELIZABETH A LARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1511 PARK AVE, COLUMBUS, WI 53925-2401
(920) 623-3040
(920) 623-2244
Mailing address
PO BOX 370, COLUMBUS, WI 53925-0370
(920) 623-3040
(920) 623-2244
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
56030-020
WI
Other
Enumeration date
04/28/2009
Last updated
03/04/2019
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