THOMAS LAWRENCE LARK

BOISE, ID
NPI1609818699
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207L00000X Anesthesiology
(Licence: ID  M7000)
Additional Taxonomies207LP2900X Anesthesiology Pain Medicine
(Licence: ID  M7000)
Enumeration Date2006-06-12
Last Update Date2007-11-29
Business Address
THOMAS LAWRENCE LARK MD
8800 W EMERALD ST
BOISE, ID 83704-8205
Phone number: 208-373-5000
Mailing Address
THOMAS LAWRENCE LARK MD
PO BOX 4008
PORTLAND, OR 97208-4008
Phone number: 503-372-2740