Individual provider · Type 1 NPI
Lynn Ann Larson, PA
Medical Physician Assistant · Buckeye, WV
NPI number
1568489458
Active
Practice location
150 Duncan Rd
Buckeye, WV 24924-9037
Fax (304) 799-2276
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant | 363A00000X | 01190 (WV) |
| Medical Physician Assistant Primary | 363AM0700X | 4904 (AZ) |
Medical Physician Assistant: Definition to come...
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About NPI 1568489458
Lynn Ann Larson, PA's National Provider Identifier is 1568489458, issued on Jul 16, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Buckeye, WV. The record was last updated on Jan 5, 2023.