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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. LARRY WILLIAM IMMENSCHUH, RDLD

Active

MR. LARRY WILLIAM IMMENSCHUH, RDLD is a Registered Dietitian healthcare provider located in FORT SILL, Oklahoma. NPI 1699914168 is currently active in the NPPES registry. Verify at CMS.

Registered Dietitian · FORT SILL, OK

Registration Details

NPI Number
1699914168
Provider Type
Individual
Gender
Male
NPI Issued
Feb 6, 2009 (17.488961016491 yrs)
Last Updated
Jan 29, 2019
License
630 (OK)

Practice Information

Address
3009 N. W. WILSON STREET
FORT SILL, OK, 735039042
Browse OK providers · Browse ZIP 73503
Phone
5804582134
Fax
5804582314
Primary Specialty
Registered Dietitian
133V00000X

Other Registered Dietitian Providers in FORT SILL, OK

Name Credential NPI
AMY RAE SEE RD/LD 1629152863
MS. BRENDA D BUSTILLOS MS, RD, LD 1689851628
MS. SAWANYA JANTHACHOTIKUN RD 1558959460
JAMIKA ALISE SMITH RD 1003651969
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.