NPI 1295755197 · live from the CMS NPI Registry
Janet Larsen Deloughery, R.D.L.N.
Dietitian, Registered in Wagner, SD. National Provider Identifier 1295755197, active.
NPI record
| NPI | 1295755197 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 111 Washington Ave Nw, Wagner, SD 57380 |
| Practice phone | 605-384-3621 |
| Enumerated | July 20, 2006 |
| Last updated | July 9, 2007 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 0263 (SD) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.