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
- City
- Waterford
- State
- Connecticut
- ZIP Code
- 06385-4238
- Phone
- (860) 444-7360
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician/Technologist - Optician — Optician |
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