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Melissa Larson
NPI 1699392001 · on the registry since 2020 · sole proprietor
Practice
- Address
- 400 E North St
Somonauk, IL 60552 - Phone
- (815) 579-4581
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-07-01
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 Illinois