PAUL LORENZO LARSEN

IDAHO FALLS, ID
NPI1235439621
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: ID  PA-2196)
Enumeration Date2010-11-01
Last Update Date2024-04-22
Business Address
PAUL LORENZO LARSEN PA-C
3200 CHANNING WAY STE A205
IDAHO FALLS, ID 83404-7586
Phone number: 208-535-4580
Mailing Address
PAUL LORENZO LARSEN PA-C
PO BOX 277381
ATLANTA, GA 30384-7381
Phone number:
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