Individual
LAURA L LARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
8000 LAKELAND AVE N, BROOKLYN PARK, MN 55445-2403
(763) 425-4890
Mailing address
6925 RUBY LN, CHANHASSEN, MN 55317-7595
(952) 474-3532
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2592
MN
Other
Enumeration date
12/13/2006
Last updated
07/08/2007
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