person
Dr. Calisandra Marie Larson, OD
Student in an Organized Health Care Education/Training Program in Boston, Massachusetts
NPI 1164113262

Calisandra Marie Larson is a Student in an Organized Health Care Education/Training Program based in Rapid City, MA. Calisandra Marie Larson practices in Boston, MA and has the professional credentials of OD. The NPI Number for Calisandra Marie Larson is 1164113262 and holds a License No. (Massachusetts).

The current practice location address for Calisandra Marie Larson is 930 Commonwealth Ave, Boston, MA and can be reached out via phone at 617-266-2030.

Location: 930 Commonwealth Ave, Boston, MA, 57703-6968
person
Provider Profile Details
NPI Number
1164113262
Provider Name
Calisandra Marie Larson
Credential
OD
Provider Entity Type
Individual
Gender
Female
Address
930 Commonwealth Ave, Boston, MA, 57703-6968
Phone Number
617-266-2030
Fax Number
Provider Enumeration Date
05/18/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
930 Commonwealth Ave
City
State
Zip
02215-1274
Phone Number
617-266-2030
Fax Number
person
Provider Business Mailing Address Details
Address
930 Commonwealth Ave
City
State
Zip
02215-1274
Phone Number
617-266-2030
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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