LYLE WILBUR LARSON

SEATTLE, WA
NPI1053401919
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: WA  PA10001429)
Enumeration Date2006-10-13
Last Update Date2007-07-08
Business Address
LYLE WILBUR LARSON
UNIVERSITY OF WASHINGTON MEDICAL CTR 1959 NE PACIFIC ST
SEATTLE, WA 98195-6043
Phone number: 206-598-4300
Mailing Address
LYLE WILBUR LARSON
PO BOX 50095
SEATTLE, WA 98145-5095
Phone number:
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