Individual
DIANA LORRAINE LARSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
348 MARKET ST, SUITE A, COLUSA, CA 95932-2422
(530) 458-5565
(530) 458-2838
Mailing address
PO BOX 1285, COLUSA, CA 95932-1285
(530) 458-5565
(530) 458-2838
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
NP545628
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RN545628
—
CA
Enumeration date
09/29/2005
Last updated
07/08/2007
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