LARS PETER ENEVOLDSEN

MODESTO, CA
NPI1437356235
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy208200000X Plastic Surgery
(Licence: CA  G56199)
Enumeration Date2007-06-27
Last Update Date2007-07-08
Business Address
Dr. LARS PETER ENEVOLDSEN M.D.
220 W ORANGEBURG AVE
MODESTO, CA 95350-4417
Phone number: 209-524-6204
Mailing Address
Dr. LARS PETER ENEVOLDSEN M.D.
220 W ORANGEBURG AVE
MODESTO, CA 95350-4417
Phone number: 209-524-6204
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