Individual
MISS MICHAL A LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LDN
Contact information
Practice address
3724 JEFFERSON ST STE 104, AUSTIN, TX 78731-6204
(512) 693-7045
Mailing address
4 DELLA ST, ITHACA, NY 14850-9034
(267) 261-5586
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86090887
PA
Other
Enumeration date
10/09/2020
Last updated
11/28/2025
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