Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Larry William Immenschuh, RDLD

Individual provider Registered Dietitian · NPI 1699914168

Mr. Larry William Immenschuh, RDLD is a Registered Dietitian in Fort Sill, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2009.

Licensed in
OK
In the registry since
2009

Practice location Address checks out

3009 N W Wilson St
Fort Sill, OK 73503-9042
Phone: (580) 458-2134
Fax: (580) 458-2314
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 630 (OK)

Record details

NPI number1699914168
Entity typeIndividual (Type 1)
GenderMale
Credentials RDLD
Sole proprietorNo
NPI enumeratedFebruary 6, 2009
Last updated in NPPESJanuary 29, 2019

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