Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
P. RENE LARSON
Active Sole ProprietorP. RENE LARSON is a Private Vehicle healthcare provider located in LEAD, South Dakota. NPI 1649921776 is currently active in the NPPES registry. Verify at CMS.
Private Vehicle · LEAD, SD
Registration Details
- NPI Number
- 1649921776
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 11, 2022 (4.4033722873128 yrs)
- Last Updated
- Jan 11, 2022
- License
-
9B1243 (SD)
- Sole Proprietor
- Yes
Practice Information
- Address
-
301 CHICAGO AVELEAD, SD, 577541007Browse SD providers · Browse ZIP 57754
- Phone
- 6056413467
- Primary Specialty
-
Private Vehicle
347C00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.