Individual
MRS. ANGELA LYNN LARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
3806 S MEDFORD DR, LUFKIN, TX 75901-5780
(936) 632-1996
Mailing address
512 APRIL DR, LUFKIN, TX 75904-3252
(936) 404-6116
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
TX
Other
Enumeration date
02/08/2018
Last updated
02/08/2018
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