| Doctor Name: | RICHARD LARSSON |
| NPI Number: | 1063412963 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PA |
| License Number: | 003239 |
| Business Practice Address: | 12 S Main St Franklinville, NY - 147371224 |
| Business Phone Number: | 7166762212 |
| Business Fax Number: | 7166762432 |
| Mailing Address: | 535 Main St, OLEAN |
| State: | NY |
| Postal Code: | 147601513 |
| Phone Number: | 7163720141 |
| Fax Number: | 7163726421 |
| NPI Enumeration Date: | 07/21/2005 |
| NPI Last Update Date: | 02/16/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 003239 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |