institution
Kathryn Larsson, O.d.
Ophthalmologic Surgery Clinic/Center in Modesto, California
NPI 1659864395

Kathryn Larsson, O.d. is a Ophthalmologic Surgery Clinic/Center based in Modesto, CA and is specialized in Ophthalmologic Surgery. Kathryn Larsson, O.d. practices in Modesto, CA. The NPI Number for Kathryn Larsson, O.d. is 1659864395 and holds a License No. 9225T (California).

The current practice location address for Kathryn Larsson, O.d. is 1150 W Orangeburg Ave, Modesto, CA and can be reached out via phone at 209-526-9883 and via fax at 209-526-8681. You can also correspond with Kathryn Larsson, O.d. through the mailing address at 1150 W ORANGEBURG AVE, MODESTO, CA - 95350-4042 (mailing address contact number: 209-526-9883).

Location: 1150 W Orangeburg Ave, Modesto, CA, 95350-4042
institution
Provider Profile Details
NPI Number
1659864395
Provider Name
Kathryn Larsson, O.d.
Credential
Provider Entity Type
Organization
Address
1150 W Orangeburg Ave, Modesto, CA, 95350-4042
Phone Number
209-526-9883
Fax Number
209-526-8681
Provider Enumeration Date
06/07/2018
Last Update Date
03/10/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
6012490001 05 CA
institution
Provider Business Practice Location Address Details
Address
1150 W Orangeburg Ave
City
State
Zip
95350-4042
Phone Number
209-526-9883
Fax Number
209-526-8681
person
Provider Business Mailing Address Details
Address
1150 W Orangeburg Ave
City
State
Zip
95350-4042
Phone Number
209-526-9883
Fax Number
209-526-8681
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Ophthalmologic Surgery
Taxonomy
License No.
9225T (California)
Definition
Definition to come...
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