| Dr Lars Peter Enevoldsen, MD | |
| 220 W Orangeburg Ave, Modesto, CA 95350-4417 | |
| (209) 524-6204 | |
| (209) 524-0405 | 
| Full Name | Dr Lars Peter Enevoldsen | 
|---|---|
| Gender | Male | 
| Speciality | Plastic Surgery | 
| Location | 220 W Orangeburg Ave, Modesto, California | 
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1437356235 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208200000X | Plastic Surgery | G56199 (California) | Primary | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Lars Peter Enevoldsen, MD 220 W Orangeburg Ave, Modesto, CA 95350-4417 Ph: (209) 524-6204 | Dr Lars Peter Enevoldsen, MD 220 W Orangeburg Ave, Modesto, CA 95350-4417 Ph: (209) 524-6204 | 
| Keliang Xiao, MD Plastic Surgery Medicare: Medicare Enrolled Practice Location: 1541 Florida Ave Ste 103, Modesto, CA 95350 Phone: 209-577-3388 | |
| Dr. James Richard Payne, MD Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 1334 Nelson Ave, Modesto, CA 95350 Phone: 209-524-9904 Fax: 209-524-4101 | |
| Hamid Reza Amirsheybani, M.D. Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 600 Coffee Rd, Modesto, CA 95355 Phone: 209-549-1200 | |
| James Spencer Hoyt, M.D. Plastic Surgery Medicare: Medicare Enrolled Practice Location: 1541 Florida Ave, Suite 304, Modesto, CA 95350 Phone: 209-577-3388 Fax: 209-521-3262 | |
| Tzuying Tammy Wu, MD Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 2336 Sylvan Ave, Suite C, Modesto, CA 95355 Phone: 209-918-0188 Fax: 209-342-3757 | |
| Michael Ernest Budd, M.D. Plastic Surgery Medicare: Medicare Enrolled Practice Location: 1401 Spanos Ct, Suite 207, Modesto, CA 95355 Phone: 209-550-4788 |