NPI 1649921776

P. Rene Larson

Practitioner Private Vehicle Lead, SD

Practice location

Address: 301 Chicago Ave, Lead, SD 57754-1007
Phone: (605) 641-3467

Registered specialties

Private Vehicle Primary

Transportation Services Taxonomy 347C00000X Licence 9B1243 (SD)

Other Private Vehicle providers in South Dakota →

Registry record

NPI: 1649921776
Entity type: Individual
Sex (as registered): Female
NPI issued: 11 Jan 2022
Record last updated: 11 Jan 2022

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.