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Individual

DR. LEONARD G LARSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
869C JOHN MARSHALL HWY # C, FRONT ROYAL, VA 22630-4578
(540) 635-3223
(540) 635-1050
Mailing address
1950 OLD GALLOWS RD STE 520, VIENNA, VA 22182-3970
(703) 847-8899
(866) 795-4020

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618000221
VA

Other

Enumeration date
10/21/2006
Last updated
01/24/2018
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