Alan Larson OD

NPI 1073677506 - Optometrist - 152W00000X

NPI Details
NPI 1073677506
Gender Male
Enumeration Date 12/20/2006
Last Updated 04/03/2014
Entity Type Individual
Active Over 9 years ago
Practice Location
MINNEAPOLIS MN, 55402-2309, US
Phone (612) 332-6656
Fax (612) 904-2438
Business Location
PO BOX 848448
DALLAS TX, 75284-8448, US
Phone (210) 340-3531
Fax (210) 524-6587
Taxonomy Code 152W00000X
License State Minnesota
License Number 1901
Remove 1073677506 NPI Number

According to our database, Alan Larson OD NPI is 1073677506, taxonomy code is 152W00000X and license number is 1901, license state is located at Minnesota. Alan Larson OD physically located at 733 Marquette Ave, Minneapolis MN, 55402-2309. NPI Number Alan Larson OD has the Individual type.

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1073677506 NPI number is provided on an as is basis without warranty of any kind. 1073677506 is maintained by the National Plan & Provider Enumeration System. The contents of Alan Larson OD are for informational purposes only.