| Doctor Name: | ELIZABETH ANNE LAREW |
| NPI Number: | 1427191725 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP-C |
| License Number: | APN0000013325 |
| Business Practice Address: | 170 Beech St Suite #1 Harrogate, TN - 377528206 |
| Business Phone Number: | 4238693684 |
| Business Fax Number: | |
| Mailing Address: | 220 Green Mountain Trl, EWING |
| State: | VA |
| Postal Code: | 242488879 |
| Phone Number: | 8655851146 |
| Fax Number: | |
| NPI Enumeration Date: | 02/15/2007 |
| NPI Last Update Date: | 01/07/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | APN0000013325 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TN |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |