Jeffrey Stephen Larson, OD

NPI #1497722904 in Saint Louis Park, Minnesota

Provider Information

NPI Number
1497722904
Entity Type
Individual
Name
Jeffrey Stephen Larson, OD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Optometrist
Credential
OD
Enumeration Date
Mar 2, 2006
Last Updated
Oct 5, 2011

Practice Location

Address
5100 GAMBLE DR SUITE 100
Address 2
MAIL STOP 31200A
ZIP Code
55416-1582
Phone
(952) 593-8777

Specialties & Taxonomy Codes

Specialty
Optometrist

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