Individual
LAYNE LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
353 FAIRMONT BLVD, RAPID CITY, SD 57701-7375
(605) 755-1000
Mailing address
9742 46TH ST SE, MARION, ND 58466-9622
(701) 490-0313
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
CR001112
SD
Other
Enumeration date
07/06/2022
Last updated
07/06/2022
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