NPI 1811809643 · live from the CMS NPI Registry
Lara Boyum, PhD, RDN, LDN, CPT
Dietitian, Registered in Kasson, MN. National Provider Identifier 1811809643, active.
NPI record
| NPI | 1811809643 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 711 7 1/2 Street Cir Nw, Kasson, MN 55944 |
| Practice phone | 507-696-2888 |
| Enumerated | September 17, 2026 |
| Last updated | September 17, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.