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NPI 1649921776

IndividualActive

P. Larson

NPI 1649921776 · Private Vehicle · Lead, SD

Provider details

NPI number: 1649921776
Entity type: Individual
Primary specialty: Private VehicleTransportation Services
Sex: Female
Sole proprietor: Yes
License: 9B1243 (SD)

Practice location

301 Chicago Ave

Lead, SD 57754-1007

Phone: (605) 641-3467

More SD providers

Mailing address

301 Chicago Ave

Lead, SD 57754-1007

Registry dates

Enumerated: 2022-01-11
Last updated: 2022-01-11

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

P. Larson — NPI 1649921776, Lead, SD | NPI Central