| Diane Jean Larson, LPN | |
|
W2273 Koene Ct, Sheboygan Falls, WI 53085-2719 | |
| (920) 467-6803 | |
| Not Available |
| Full Name | Diane Jean Larson |
|---|---|
| Gender | Female |
| Speciality | Licensed Practical Nurse |
| Location | W2273 Koene Ct, Sheboygan Falls, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447462635 | NPI | - | NPPES |
| 35028400 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 20152031 (Wisconsin) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Diane Jean Larson, LPN W2273 Koene Ct, Sheboygan Falls, WI 53085-2719 Ph: (920) 467-6803 | Diane Jean Larson, LPN W2273 Koene Ct, Sheboygan Falls, WI 53085-2719 Ph: (920) 467-6803 |
Ms. Anna C Birkholz, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: W3849 County Rd N, Sheboygan Falls, WI 53085 Phone: 920-698-6301 | |
Stephanie Schwartz, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 188 York St, Sheboygan Falls, WI 53085 Phone: 920-627-0999 |