Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RG0100X | Gastroenterologist | MD00031080 | WA |
NPI | 1003906959 |
---|---|
Provider Name | Dr. Anne M Larson |
First Address | Seattle, WA 98145-5095 |
Second Address | Seattle, WA 98133-8414 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/10/2006 |
Last Update Date | 08/06/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1003906959 | (05) | WA |