Most Relevant Information
Provider Data
| NPI Number: | 1003251836 |
| Provider Name: | MICHAEL LARSON M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 2085R0202X |
| Specialty: | Radiology |
| License Number: | 31659 |
Most Important Dates
| Enumeration Date: | 05/07/2013 |
| Last Updated: | 04/27/2021 |
Provider Practice Location
19020 33RD AVE W STE 210
LYNNWOOD
WA
980364748
Practice Location Phone/Fax
| Phone: | 4255631500 |
| Fax: | 4255631501 |
Provider Mailing Location
19020 33RD AVE W STE 210
LYNNWOOD
WA
980364748
Provider Mailing Phone/Fax
| Phone: | 4255631500 |
| Fax: | 4255631501 |