NPI 1093836025

Mary Beth Larock, RD

Practitioner Renal Nutrition Registered Dietitian Waukesha, WI

Practice location

Address: 1111 Delafield St STE 212, Waukesha, WI 53188-3403
Phone: (262) 524-1024
Fax: (262) 524-8767
Mailing address: 2301 Sun Valley Dr STE 200, Delafield, WI 53018-2318

Registered specialties

Renal Nutrition Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133VN1005X Licence R528717 (WI)

Other Dietitian, Registered providers in Wisconsin →

Registry record

NPI: 1093836025
Entity type: Individual
Sex (as registered): Female
NPI issued: 3 Apr 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.