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1386810430
ANDREW W LARSON
SHREVEPORT, LA
NPI
1386810430
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: LA MD.205360)
Enumeration Date
2008-05-07
Last Update Date
2012-06-19
Business Address
-- ANDREW W LARSON MD
1 SAINT MARY PL
SHREVEPORT, LA 71101-4343
Phone number: 337-781-9522
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Mailing Address
-- ANDREW W LARSON MD
1 SAINT MARY PL
SHREVEPORT, LA 71101-4343
Phone number: 337-781-9522
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MUSCULOSKELETAL INSTITUTE OF LOUISIANA, LLC