NPI 1417203134

Julie Elizabeth Larsen, RDCD

Practitioner Registered Dietitian Baraboo, WI

Practice location

Address: S2845 White Eagle Rd, Baraboo, WI 53913-9064
Phone: (608) 335-1240

Registered specialties

Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133V00000X Licence 2515 (WI)

Other Dietitian, Registered providers in Wisconsin →

Registry record

NPI: 1417203134
Entity type: Individual
Sex (as registered): Female
NPI issued: 31 Jul 2012
Record last updated: 31 Jul 2012

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.