Organization
ELIZABETH A LARSON INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELIZABETH ANNE LARSON EDD (PRESIDENT)
(605) 274-1119
Entity
Organization
Contact information
Practice address
6810 S LYNCREST AVE, SUITE 201, SIOUX FALLS, SD 57108-2515
(605) 274-1119
(605) 271-9983
Mailing address
6810 S LYNCREST AVE, SUITE 201, SIOUX FALLS, SD 57108-2515
(605) 274-1119
(605) 271-9983
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
SD424
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
102709
HEALTH PARTNERS
SD
01
—
22188
SANFORD HEALTH
SD
01
—
455505000
MAGELLON BEHAVIORAL HEALT
SD
01
—
4905421
UNITED BEHAVIORAL HEALTH
SD
01
—
4996486
BLUE CROSS BLUE SHEILD
SD
05
—
6551970
—
SD
01
—
7305
AVERA HEALTH PLANS
SD
01
—
9982
MIDLANDS CHOICE
SD
Enumeration date
09/20/2007
Last updated
09/18/2008
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