Diane Jean Larson, LPN
NPI #1447462635 in Sheboygan Falls, Wisconsin
Provider Information
- NPI Number
- 1447462635
- Entity Type
- Individual
- Name
- Diane Jean Larson, LPN
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Licensed Practical Nurse
- Credential
- LPN
- Enumeration Date
- May 3, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- W2273 KOENE CT
- City
- Sheboygan Falls
- State
- Wisconsin
- ZIP Code
- 53085-2719
- Phone
- (920) 467-6803
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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