Kirk Larsen

NPI #1124413703 in Waterford, Connecticut

Provider Information

NPI Number
1124413703
Entity Type
Individual
Name
Kirk Larsen
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Technician/Technologist - Optician
Enumeration Date
Apr 1, 2015
Last Updated
Apr 1, 2015

Practice Location

Address
850 HARTFORD TPKE
Address 2
COHENS FASHION OPTICAL
ZIP Code
06385-4238
Phone
(860) 444-7360

Specialties & Taxonomy Codes

Specialty
Technician/Technologist - OpticianOptician

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