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Douglas S Larner
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NPI Number Detailed Information
Provider Information:
| Name: | Douglas S Larner |
| Gender: | M |
| Provider License Number If Given: | 95013876 |
NPI Information:
| NPI: | 1467447896 |
| Entity Type (Individual or Organization): |
1-ind |
| Enumeration Date: | 9/12/2005 |
| Last Update Date: | 6/2/2020 |
Provider Business Mailing Address:
| Address: | 300 PASTEUR DR Stanford, CA 94305 |
| Phone Number: | 6507234000 |
| Fax Number: |
Provider Business Practice Location Address:
| Address: | 300 PASTEUR DR Stanford, CA 94305 |
| Phone Number: | 6507234000 |
| Fax Number: |
Provider Taxonomy:
| Primary: | 363L00000X |
| Secondary (if any): | 363LA2200X |
| State: | CA |
