MRS. LISA LARSON, PAC
Physician Assistant
Active
Individual
NPI: 1417945940
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant | 363A00000X | Yes | 9622 (MN) |
Frequently Asked Questions
NPI 1417945940 is the National Provider Identifier for MRS. LISA LARSON, PAC, a Physician Assistant provider located in Chaska, MN. This NPI was enumerated on October 10, 2005.
MRS. LISA LARSON, PAC practices at 822 YELLOW BRICK RD, Chaska, MN 55318.
Quick Facts
- NPI
- 1417945940
- Type
- Individual
- Enumerated
- Oct 10, 2005
- Last Updated
- Jul 8, 2007
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