Most Relevant Information
Provider Data
| NPI Number: | 1003178724 |
| Provider Name: | ASHLEY MARIE LARSON MS, RD, LMNT |
| Entity Type: | Individual |
| Taxonomy Code: | 133V00000X |
| Specialty: | Dietitian, Registered |
| License Number: | 868 |
Most Important Dates
| Enumeration Date: | 06/08/2012 |
| Last Updated: | 06/04/2018 |
Provider Practice Location
7501 S 27TH ST
LINCOLN
NE
68512
Practice Location Phone/Fax
| Phone: | 4024816316 |
| Fax: |
Provider Mailing Location
4000 W IRVING CIR
LINCOLN
NE
685213007
Provider Mailing Phone/Fax
| Phone: | 4024694323 |
| Fax: |