JEFFREY R LARSON

ERIE, PA
NPI1679553937
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: PA  SP007048)
Enumeration Date2006-01-20
Last Update Date2012-05-23
Business Address
Mr. JEFFREY R LARSON CRNP
201 STATE ST
ERIE, PA 16550-0002
Phone number: 814-877-6139
Mailing Address
Mr. JEFFREY R LARSON CRNP
717 STATE ST SUITE 16, LL
ERIE, PA 16501-1341
Phone number: 814-877-7100