Individual
DIANE J. LARSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LD
Contact information
Practice address
520 THOREAU SPRING CT, MADISON, AL 35758
(256) 656-3951
Mailing address
520 THOREAU SPRING CT, MADISON, AL 35758-3648
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2016
AL
Other
Enumeration date
06/08/2017
Last updated
04/22/2026
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