Larsson, Kathryn L

Larsson, Kathryn L is an sole proprietor health care provider with primary practice located at 1150 W Orangeburg Ave , Modesto CA 95350. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Larsson, Kathryn L can be contacted via phone (209) 526-9883.

Contact Information

Primary practice address
1150 W Orangeburg Ave Modesto CA 95350
Phone: (209) 526-9883
Fax: (209) 526-8681
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 4069 Texas
Eye and Vision Services Providers / Optometrist 152W00000X 9225T California

Profile Details

NPI number 1750375440
LBN Legal business name Larsson, Kathryn L
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 8th, 2005
Last updated Jul 30th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750375440 NPPES
California MEDICAID SD0092250

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