Individual
DR. REBECCA L LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
5129 S WESTERN AVE, SIOUX FALLS, SD 57108-2670
(605) 332-2231
(605) 330-9519
Mailing address
5129 S WESTERN AVE, SIOUX FALLS, SD 57108-2670
(605) 332-2231
(605) 330-9519
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
613
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9203532
—
SD
Enumeration date
06/05/2006
Last updated
03/27/2012
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