| Larissa A Musgrave, LRD | |
|
401 3rd St Se, Jamestown, ND 58401-4247 | |
| (701) 253-5300 | |
| (701) 253-5402 |
| Full Name | Larissa A Musgrave |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 401 3rd St Se, Jamestown, North Dakota |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528013307 | NPI | - | NPPES |
| 54497 | Medicaid | ND | |
| 6300193 | Other | ND | MEDICA |
| 6300192 | Other | ND | MEDICA # |
| P00054456 | Other | ND | RR MEDICARE# |
| HP38430 | Other | ND | HEALTHPARTNERS # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 626 (North Dakota) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Larissa A Musgrave, LRD Po Box 6001, Fargo, ND 58108-6001 Ph: (701) 253-5300 | Larissa A Musgrave, LRD 401 3rd St Se, Jamestown, ND 58401-4247 Ph: (701) 253-5300 |
Jodi R Bunde, LRD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2422 20th St Sw, Jamestown, ND 58401 Phone: 701-252-1050 Fax: 701-952-3265 | |
Stacie Erin Aylor, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2422 20th St Sw, Jamestown, ND 58401 Phone: 701-952-1050 Fax: 701-952-3265 | |
Brittany Autumn Johnston, LRD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2422 20th St Sw, Jamestown, ND 58401 Phone: 701-952-1050 | |
Dakota Clinic, Ltd Jamestown Dietitian Medicare: Not Enrolled in Medicare Practice Location: 401 3rd St Se, Jamestown, ND 58401 Phone: 701-253-5300 Fax: 701-253-5402 | |
Marianne L Klosterman, LRD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2422 20th St Sw, Jamestown, ND 58401 Phone: 701-252-1050 Fax: 701-952-3265 | |
Holly Kiehl, MS RD, LRD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2422 20th St Sw, Jamestown, ND 58401 Phone: 701-952-1050 |