Most Relevant Information
Provider Data
| NPI Number: | 1003315763 |
| Provider Name: | ANGELA LYNN LARSON RD |
| Entity Type: | Individual |
| Taxonomy Code: | 133V00000X |
| Specialty: | Dietitian, Registered |
| License Number: |
Most Important Dates
| Enumeration Date: | 02/08/2018 |
| Last Updated: | 02/08/2018 |
Provider Practice Location
3806 S MEDFORD DR
LUFKIN
TX
759015780
Practice Location Phone/Fax
| Phone: | 9366321996 |
| Fax: |
Provider Mailing Location
512 APRIL DR
LUFKIN
TX
759043252
Provider Mailing Phone/Fax
| Phone: | 9364046116 |
| Fax: |