Organization
LARSON DIETETICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PHILIP ROBERT LARSON RDN (OWNER)
(918) 914-3215
Entity
Organization
Contact information
Practice address
25 STONEYBROOK LN, BRISTOL, ME 04539-3050
(918) 914-3215
Mailing address
25 STONEYBROOK LN, BRISTOL, ME 04539-3050
(918) 914-3215
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
03/26/2026
Last updated
03/26/2026
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