Individual
DR. TERESA A LARCOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
8025 STATE LINE RD, KANSAS CITY, MO 64114-2016
(816) 444-2393
(816) 444-2394
Mailing address
10215 E STATE ROUTE 350, RAYTOWN, MO 64138-1818
(816) 444-2393
(816) 444-2394
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
1402
KS
152W00000X
Optometrist
Primary
TO3126
MO
Other
Enumeration date
12/22/2006
Last updated
03/07/2017
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