| NPI | 1124344957 |
|---|---|
| Other Name | CHONNA LYNN LARRY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: TN 48475) |
| Additional Taxonomies | 208D00000X General Practice (Licence: TN 48475) |
| Enumeration Date | 2010-04-19 |
| Last Update Date | 2016-08-31 |