Individual
MRS. KRISTIN ELIZABETH LARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
4869 195TH ST, CHIPPEWA FALLS, WI 54729-9101
(715) 271-0985
Mailing address
4869 195TH ST, CHIPPEWA FALLS, WI 54729-9101
(715) 271-0985
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
—
WI
Other
Enumeration date
01/25/2007
Last updated
07/08/2007
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