NPI 1487753042 · live from the CMS NPI Registry
Georgia Larson, LN
Dietitian, Registered in Sioux Falls, SD. National Provider Identifier 1487753042, active.
NPI record
| NPI | 1487753042 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 1305 W 18th St, Sioux Falls, SD 57105 |
| Practice phone | 605-333-1000 |
| Mailing address | Po Box 5074, Sioux Falls, SD 57117 |
| Enumerated | September 21, 2006 |
| Last updated | July 8, 2007 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 0088 (SD) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.