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Organization
LARKSPUR OPTOMETRY, INC.
Active
Organization
LARKSPUR OPTOMETRY, INC.
Active
Other names
Nancy Ekelund Optometry
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY COZETTE EKELUND O.D. (PRESIDENT)
(530) 222-4300
Entity
Organization
Contact information
Practice address
2620 LARKSPUR LN STE L, REDDING, CA 96002-1043
(530) 223-4300
(530) 222-8903
Mailing address
2620 LARKSPUR LN STE L, REDDING, CA 96002-1043
(530) 223-4300
(530) 222-8903
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
7944TPG
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SD0079440
—
CA
Enumeration date
03/13/2014
Last updated
03/13/2014
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