Rennaker, Larissa Lanae

Rennaker, Larissa Lanae is an individual health care provider with primary practice located at 401 Broadway Ave , Pueblo CO 81004-2127. She recently has only one registered license in Behavioral Health & Social Service Providers / Assistant Behavior Analyst, which is considered as her primary health care specialty. Rennaker, Larissa Lanae can be contacted via phone (719) 387-7775.

Contact Information

Primary practice address
401 Broadway Ave Pueblo CO 81004-2127
Fax:
Website:

Health care specialties

Profile Details

NPI number 1588315832
LBN Legal business name Rennaker, Larissa Lanae
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2022
Last updated Jan 18th, 2022 - about 2 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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