person
P. Rene Larson
Private Vehicle in Lead, South Dakota
NPI 1649921776

P. Rene Larson is a Private Vehicle based in Lead, SD. P. Rene Larson practices in Lead, SD. The NPI Number for P. Rene Larson is 1649921776 and holds a License No. 9B1243 (South Dakota).

The current practice location address for P. Rene Larson is 301 Chicago Ave, Lead, SD and can be reached out via phone at 605-641-3467.

Location: 301 Chicago Ave, Lead, SD, 57754-1007
person
Provider Profile Details
NPI Number
1649921776
Provider Name
P. Rene Larson
Credential
Provider Entity Type
Individual
Gender
Female
Address
301 Chicago Ave, Lead, SD, 57754-1007
Phone Number
605-641-3467
Fax Number
Provider Enumeration Date
01/11/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
301 Chicago Ave
City
State
Zip
57754-1007
Phone Number
605-641-3467
Fax Number
person
Provider Business Mailing Address Details
Address
301 Chicago Ave
City
State
Zip
57754-1007
Phone Number
605-641-3467
Fax Number
person
Provider's Taxonomy Details 1
Type
Transportation Services
Classification
Private Vehicle
Speciality
-
Taxonomy
License No.
9B1243 (South Dakota)
Definition
An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.
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