Individual
DR. TAMRA L LARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
3300 EDINBOROUGH WAY STE 412, EDINA, MN 55435-5960
(952) 835-3201
Mailing address
3300 EDINBOROUGH WAY STE 412, EDINA, MN 55435-5960
(952) 835-3201
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3111
MN
Other
Enumeration date
01/04/2008
Last updated
01/04/2008
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