Wellformed AI

NPI 1992036701 · live from the CMS NPI Registry

Jill Leah Larsen, M.D.

Anesthesiology in Aberdeen, SD. National Provider Identifier 1992036701, active.

NPI record

NPI1992036701 Type 1 · individual
StatusActive
Primary specialtyAnesthesiology 207L00000X
Practice location305 S State St, Aberdeen, SD 57401
Practice phone605-622-5000
Mailing addressPo Box 1460, Aberdeen, SD 57402
EnumeratedJanuary 18, 2010
Last updatedJuly 14, 2015
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Anesthesiology207L00000X5674 (NE)
Anesthesiology primary207L00000X9508 (SD)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.