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Search › Wisconsin › 1041C0700X

Jane Larson

NPI 1578995825 · on the registry since 2013

Practice

Address
1500 N 34th St
Suite 200
Superior, WI 54880
Phone
(715) 392-8216
Fax
(715) 392-6055
Organisation at this address
Lake Superior Community Health Center
Brightwater Health Dba Human Development Center
Brightwater Health Dba Human Development Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address
36

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Also registered as
3747P1801X
1041C0700X
Licence states on file
WI, MN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2017-02-16

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin