Larson, Lydia Frances

Larson, Lydia Frances is an individual health care provider with primary practice located at 2203 Holiday Dr , Janesville WI 53545. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Dental Providers / General Practice. Dental Providers / General Practice is her primary health care specialty. Larson, Lydia Frances can be contacted via phone (608) 752-2931.

Contact Information

Primary practice address
2203 Holiday Dr Janesville WI 53545
Phone: (608) 752-2931
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Dental Providers / General Practice 1223G0001X 1001861 Wisconsin

Profile Details

NPI number 1396242236
LBN Legal business name Larson, Lydia Frances
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 8th, 2018
Last updated Jun 12th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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