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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

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