Individual provider · Type 1 NPI

P. Rene Larson

Private Vehicle · Lead, SD

NPI number 1649921776 Active

Practice location

301 Chicago Ave
Lead, SD 57754-1007

Call (605) 641-3467 Map

Specialties and licenses

TaxonomyCodeLicense
Private Vehicle Primary 347C00000X9B1243 (SD)

Private Vehicle: An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.

About NPI 1649921776

P. Rene Larson's National Provider Identifier is 1649921776, issued on Jan 11, 2022. The primary taxonomy on file is Private Vehicle (347C00000X), and the practice location is in Lead, SD. The record was last updated on Jan 11, 2022.