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Individual

DR. CRISTOFORO LARZO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2412 N JOHN B DENNIS HWY, KINGSPORT, TN 37660-4772
(423) 578-4364
(423) 578-4372
Mailing address
9050 EXECUTIVE PARK DR STE 202A, KNOXVILLE, TN 37923-4670
(423) 756-1512
(865) 934-3884

Taxonomy

Speciality
Code
Description
License number
State
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
47455
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
103I187084
MEDICARE
TN
05
3810002341
WV
01
NC0241A
MEDICARE
NC
01
VV2099A
MEDICARE
VA
Enumeration date
03/08/2006
Last updated
11/04/2025
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