Individual
ELIZABETH ROSE LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2901 BENNETT AVE, ANCHORAGE, AK 99517-2467
(907) 205-9232
Mailing address
2901 BENNETT AVE, ANCHORAGE, AK 99517-2467
(907) 205-9232
Taxonomy
Speciality
Code
Description
License number
State
156FC0800X
Contact Lens Technician/Technologist
Primary
156FC0800X
AK
Other
Enumeration date
08/19/2020
Last updated
08/19/2020
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