Individual
DR. TERRY LEE LARSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
205 ORCHARD DR, SISSETON, SD 57262-2312
(605) 698-4665
(605) 698-6401
Mailing address
PO BOX 905, ST JOHNSBURY, VT 05819-0905
(802) 748-8141
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
032.0066383
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1017931
—
VT
05
—
3075442
—
NH
Enumeration date
03/29/2007
Last updated
05/07/2025
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