Lars Peter Enevoldsen in Modesto - Plastic Surgery
Lars Peter Enevoldsen - NPI 1437356235
Lars Peter Enevoldsen is a Plastic Surgery in Modesto, California. Lars Peter Enevoldsen practices all healthcare services and medical treatments related to Plastic Surgery. The NPI Number for Lars Peter Enevoldsen is 1437356235. The last update date is 2007-07-08.
Lars Peter Enevoldsen's current location address is 220 W Orangeburg Ave, Modesto, California. You can contact this provider via phone number 2095246204 and fax number 2095240405. The mailing address for Lars Peter Enevoldsen is 220 W Orangeburg Ave, Modesto, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lars Peter Enevoldsen |
|---|---|
| Address | 220 W Orangeburg Ave, Modesto, California |
| Phone Number | 2095246204 |
| Fax Number | 2095240405 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1437356235 |
|---|---|
| Provider Enumeration Date | 2007-06-27 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 220 W Orangeburg Ave |
|---|---|
| City | Modesto |
| State | California (CA) |
| Post Code | 953504417 |
| Phone Number | 2095246204 |
| Fax Number | 2095240405 |
Provider's Primary Taxonomy Detail
| Speciality | Plastic Surgery |
|---|---|
| Taxonomy | 208200000X |
| Licence No | G56199 |
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Definition: A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or c |
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Post Comment/ Review Below
What is the unique identifier code issued to Lars Peter Enevoldsen by the Centers for Medicare & Medicaid Services (CMS)?
The Lars Peter Enevoldsen has been assigned the NPI (National Provider Identifier) 1437356235. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the Lars Peter Enevoldsen's physical address?
The Lars Peter Enevoldsen is physically located at 220 W Orangeburg Ave, in the city of Modesto, CA, with the postal code 953504417.
What is Lars Peter Enevoldsen's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Lars Peter Enevoldsen's specialized field of practice is Plastic Surgery, and the corresponding taxonomy code that categorizes this area of specialization is 208200000X.
When did Lars Peter Enevoldsen receive its 1437356235 assignment?
The Lars Peter Enevoldsen was assigned its 1437356235 on 2007-06-27, which is the date when this unique identifier was issued to the organization.
When was the information pertaining to Lars Peter Enevoldsen most recently updated or revised?
The details related to Lars Peter Enevoldsen, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.