P. Rene Larson

Private Vehicle · Lead, SD

Individual Active NPI

NPI number 1649921776

Practice location

301 Chicago Ave
Lead, SD 57754-1007
Phone
(605) 641-3467

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NPI record

NPI
1649921776
Entity type
Individual (Type 1)
Enumeration date
January 11, 2022
Last updated
January 11, 2022
Certified
November 22, 2021
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Private Vehicle Primary 347C00000X 9B1243 SD

About P. Larson

P. Rene Larson is a healthcare provider registered in the NPI registry with the primary taxonomy Private Vehicle (code 347C00000X). The practice location is 301 Chicago Ave, Lead, SD 57754-1007. The NPI number 1649921776 was assigned on January 11, 2022 and the record was last updated on January 11, 2022.

P. Larson lists a license in the registry: #9B1243 (SD) for Private Vehicle. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of P. Rene Larson?

The NPI number is 1649921776.

What is the phone number of P. Larson?

The phone number listed for the practice location is (605) 641-3467.

Where is P. Larson located?

301 Chicago Ave, Lead, SD 57754-1007.

What is the taxonomy code for P. Larson?

The primary taxonomy code is 347C00000X – Private Vehicle.

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.