Individual
MRS. JULIE ELIZABETH LARSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD., C.D.
Contact information
Practice address
S2845 WHITE EAGLE RD, BARABOO, WI 53913-9064
(608) 335-1240
Mailing address
S2845 WHITE EAGLE RD, BARABOO, WI 53913-9064
(608) 335-1240
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2515
WI
Other
Enumeration date
07/31/2012
Last updated
07/31/2012
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