Individual
DR. CALISANDRA MARIE LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
930 COMMONWEALTH AVE, BOSTON, MA 02215-1274
(617) 266-2030
Mailing address
421 DIAMOND RIDGE BLVD, RAPID CITY, SD 57703-6968
(605) 391-2930
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/18/2023
Last updated
05/18/2023
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