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Organization

VANDESTEEG & LARSON OPTOMETRIC CLINIC, PA

Active
Parent organization
VANDESTEEG & LARSON OPTOMETRIC CLINIC, PA
Organization subpart
Yes

Provider details

NPI number
Legal business name
VANDESTEEG & LARSON OPTOMETRIC CLINIC, PA
Authorized official
MR. STEPHEN M LARSON OD (PRESIDENT)
(320) 732-2313
Entity
Organization

Contact information

Practice address
240 CENTRAL AVE, LONG PRAIRIE, MN 56347
(320) 732-2313
(320) 533-3147
Mailing address
240 CENTRAL AVE, LONG PRAIRIE, MN 56347
(320) 732-2313
(320) 533-3147

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary

Other

Enumeration date
12/21/2018
Last updated
12/21/2018
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