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Larissa Booth

NPI 1871436030 · on the registry since 2026

Practice

Address
607 Latham St
Lodgepole, NE 69149
Phone
(970) 744-8689

Registry record

Primary taxonomy
3747P1801X
3747P1801X
Licence states on file
NULL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-04-13
Status
Not present in the most recent federal file

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 Nebraska