Susan Larson

Registered Dietitian · Kenosha, WI

Individual Active NPI

NPI number 1588370902

Practice location

1020 35TH Street
Kenosha, WI 53140
Phone
(262) 767-6487

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NPI record

NPI
1588370902
Entity type
Individual (Type 1)
Enumeration date
January 30, 2023
Last updated
January 30, 2023
Certified
January 29, 2023
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Registered Dietitian Primary 133V00000X 812643 IL
Registered Dietitian 133V00000X 3633-29 WI

Mailing address

1020 35TH Street
Kenosha, WI 53140-1902
Phone
(262) 767-6487

About Susan Larson

Susan Larson is a healthcare provider registered in the NPI registry with the primary taxonomy Registered Dietitian (code 133V00000X). The practice location is 1020 35TH Street, Kenosha, WI 53140. The NPI number 1588370902 was assigned on January 30, 2023 and the record was last updated on January 30, 2023.

Susan Larson lists 2 licenses in the registry: #812643 (IL) for Registered Dietitian; #3633-29 (WI) for Registered Dietitian. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Susan Larson?

The NPI number is 1588370902.

What is the phone number of Susan Larson?

The phone number listed for the practice location is (262) 767-6487.

Where is Susan Larson located?

1020 35TH Street, Kenosha, WI 53140.

What is the taxonomy code for Susan Larson?

The primary taxonomy code is 133V00000X – Registered Dietitian; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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