Individual
MEGAN ELAINE LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
16920 23RD AVE N, PLYMOUTH, MN 55447-2209
(612) 850-1263
Mailing address
16920 23RD AVE N, PLYMOUTH, MN 55447-2209
(612) 850-1263
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
4414
MN
Other
Enumeration date
04/26/2022
Last updated
04/26/2022
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