| NPI Details | |
|---|---|
| NPI | 1164583407 |
| Gender | Female |
| Enumeration Date | 12/12/2006 |
| Last Updated | 07/08/2007 |
| Entity Type | Individual |
| Active | Over 11 years ago |
| Practice Location | |
|---|---|
| 934 E 5TH ST MERIDIAN ID, 83642-2357, US |
|
| Phone | (208) 888-1320 |
| Fax | (208) 888-3018 |
| Business Location | |
|---|---|
| 934 E 5TH ST MERIDIAN ID, 83642-2357, US |
|
| Phone | (208) 888-1320 |
| Fax | (208) 888-3018 |
| Toxanomy | |
|---|---|
| Taxonomy Code | 101YM0800X |
| License State | Idaho |
| License Number | LCPC278 |
| Remove 1164583407 NPI Number | |
According to our database, Ruth A Larson LCPC NPI is 1164583407, taxonomy code is 101YM0800X and license number is LCPC278, license state is located at Idaho. Ruth A Larson LCPC physically located at 934 E 5th St, Meridian ID, 83642-2357. NPI Number Ruth A Larson LCPC has the Individual type.
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1164583407 NPI number is provided on an as is basis without warranty of any kind. 1164583407 is maintained by the National Plan & Provider Enumeration System. The contents of Ruth A Larson LCPC are for informational purposes only.
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