Individual
NATALIE LARSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
651 DUNLOP LN, CLARKSVILLE, TN 37040-5015
(931) 502-1000
Mailing address
625 19TH ST S, BIRMINGHAM, AL 35233-1900
(205) 934-4303
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
70858
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/18/2019
Last updated
08/02/2024
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