Individual
DR. LARS OLA I SJOHOLM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
316 S STRATFORD AVE STE B, SANTA MARIA, CA 93454-5908
(805) 332-8446
(805) 332-8173
Mailing address
316 S STRATFORD AVE STE B, SANTA MARIA, CA 93454-5908
(805) 332-8446
(805) 332-8173
Taxonomy
Speciality
Code
Description
License number
State
2086S0102X
Surgical Critical Care Physician
Primary
C177818
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0002181
AETNA
PA
05
—
0095087
—
NJ
01
—
1134057
AETNA
NJ
01
—
2078341
HIGHMARK BLUE SHIELD
PA
01
—
2623781
UNITED HEALTHCARE
NJ
01
—
2684555000
BLUE SHIELD KEYSTONE AMERIHEALTH
—
01
—
3K6094
HEALTNET
NJ
01
—
60021848
HORIZON NJ HEALTH
NJ
01
—
91001907400
AMERICHOICE
NJ
01
—
P00292748
RR MEDICARE
NJ
Enumeration date
09/16/2006
Last updated
11/03/2023
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