DR. Larrance Edwin Larson, O.D.

NPI #1437133188 in Folsom, California

Provider Information

NPI Number: 1437133188
Entity Type: Individual
Name: DR. Larrance Edwin Larson, O.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Dec 5, 2005
Last Updated: Mar 17, 2020

Practice Location

Address: 421 BLUE RAVINE RD
Address 2: STE 300
City: Folsom
State: California
ZIP Code: 95630-3821
Phone: (916) 983-1066

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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