John D Larson, OD

NPI #1013913912 in La Crosse, Wisconsin

Provider Information

NPI Number: 1013913912
Entity Type: Individual
Name: John D Larson, OD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Jun 24, 2005
Last Updated: Mar 7, 2014

Practice Location

Address: 1836 SOUTH AVE
City: La Crosse
State: Wisconsin
ZIP Code: 54601-5429
Phone: (608) 782-7300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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