Carol H Larter Johnson OD

NPI 1073591939 - Optometrist - 152W00000X

NPI Details
NPI 1073591939
Gender Female
Enumeration Date 01/02/2006
Last Updated 02/12/2015
Entity Type Individual
Active Over 10 years ago
Practice Location
5565 BLAINE AVE
INVER GROVE HEIGHTS MN, 55076-1238, US
Phone (651) 241-9400
Fax
Business Location
2925 CHICAGO AVE
MINNEAPOLIS MN, 55407-1321, US
Phone (612) 262-1166
Fax
Toxanomy
Taxonomy Code 152W00000X
License State Minnesota
License Number 2134
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According to our database, Carol H Larter Johnson OD NPI is 1073591939, taxonomy code is 152W00000X and license number is 2134, license state is located at Minnesota. Carol H Larter Johnson OD physically located at 5565 Blaine Ave, Inver Grove Heights MN, 55076-1238. NPI Number Carol H Larter Johnson OD has the Individual type.

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1073591939 NPI number is provided on an as is basis without warranty of any kind. 1073591939 is maintained by the National Plan & Provider Enumeration System. The contents of Carol H Larter Johnson OD are for informational purposes only.