JOHN S LARSON

LAFAYETTE, LA
NPI1144783408
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: LA  204085)
Enumeration Date2019-04-12
Last Update Date2019-04-12
Business Address
JOHN S LARSON APRN
302 DULLES DR
LAFAYETTE, LA 70506-3008
Phone number: 337-262-4100
Mailing Address
JOHN S LARSON APRN
102 FINSBURY LN
LAFAYETTE, LA 70506
Phone number: 337-344-1406