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1427652361
LARS LARSON
BIRMINGHAM, AL
NPI
1427652361
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: AL 1-153397)
Enumeration Date
2020-11-22
Last Update Date
2020-11-22
Business Address
LARS LARSON CRNP
701 PRINCETON AVE SW
BIRMINGHAM, AL 35211-1303
Phone number: 205-783-7970
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Mailing Address
LARS LARSON CRNP
1141 N SHADESVIEW TER
HOMEWOOD, AL 35209-6637
Phone number:
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