# JULI A LARSON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1396796710
- **Gender:** F
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 0420008600 | VT | Yes |
| 207W00000X | Ophthalmology Physician | 255565-1 | NY | — |
| 207W00000X | Ophthalmology Physician | 25565-1 | NY | — |

## Other

- **Enumeration date:** 05/12/2006
- **Last updated:** 07/21/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 180019743 | RAIL ROAD MEDICARE | VT |
| 05 | — | OVN0634 | — | VT |