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Jeffery Larsen, AUD

NPI 1528882834 · on the registry since 2024

Practice

Address
15816 N Pennsylvania Ave Ste 2
Edmond, OK 73013
Phone
(405) 755-6557
Fax
(405) 513-6612

Registry record

Primary taxonomy
231H00000X
231H00000X
Licence states on file
OK
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-11-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma