Individual provider · Type 1 NPI
Tanya Rene Larson, LMP
Specialist · Burlington, WA
NPI number
1356522049
Active
Practice location
120 N. Oak St
Burlington, WA 98233
Fax (360) 755-1305
Mailing address
120 N. Oak St.
Burlington, WA 98233
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | MA00020919 (WA) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1356522049
Tanya Rene Larson, LMP's National Provider Identifier is 1356522049, issued on Nov 21, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Burlington, WA. The record was last updated on Dec 16, 2014.