Larson, Jessica T

Larson, Jessica T is an individual health care provider with primary practice located at 660 N Westmoreland Rd , Lake Forest IL 60045-1659. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Larson, Jessica T can be contacted via phone (847) 535-6806.

Contact Information

Primary practice address
660 N Westmoreland Rd Lake Forest IL 60045-1659
Phone: (847) 535-6806
Fax: (847) 535-7851
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 164.004883 Illinois

Profile Details

NPI number 1033356852
LBN Legal business name Larson, Jessica T
Credentials RD, LDN
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 15th, 2009
Last updated Jan 15th, 2009 - about 15 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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