Individual
LEANN PATRICE LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1575 BEAM AVE, MAPLEWOOD, MN 55109-1126
(651) 326-2190
Mailing address
3233 BRYANT AVE S, MINNEAPOLIS, MN 55408-3608
(651) 326-2190
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2109
MN
Other
Enumeration date
01/31/2007
Last updated
07/08/2007
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