NPI 1972394005

Jessica Lee Larson

Practitioner Other Technician Edina, MN

Practice location

Address: 4510 77th St W, Edina, MN 55435-5505
Phone: (952) 826-8475
Fax: (952) 922-2525

Registered specialties

Other Technician Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 247200000X

Other Technician, Other providers in Minnesota →

Registry record

NPI: 1972394005
Entity type: Individual
Sex (as registered): Female
NPI issued: 16 May 2025
Record last updated: 16 May 2025

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.