Dr Lars Peter Enevoldsen, MD - Plastic Surgery in Modesto, CA

Dr Lars Peter Enevoldsen, MD is a Plastic Surgery physician based in Modesto, California. Dr Lars Peter Enevoldsen is licensed to practice in California (license number G56199) and his current practice location is 220 W Orangeburg Ave, Modesto, California. He can be reached at his office (for appointments etc.) via phone at (209) 524-6204.

NPI number for Dr Lars Peter Enevoldsen is 1437356235 and his current mailing address is 220 W Orangeburg Ave, Modesto, California. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1437356235.

Contact Information

Dr Lars Peter Enevoldsen, MD
220 W Orangeburg Ave,
Modesto, CA 95350-4417
(209) 524-6204
(209) 524-0405

Map and Direction




Physician's Profile

Full NameDr Lars Peter Enevoldsen
GenderMale
SpecialityPlastic Surgery
Location220 W Orangeburg Ave, Modesto, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1437356235
  • Provider Enumeration Date: 06/27/2007
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Dr Lars Peter Enevoldsen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1437356235NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208200000XPlastic Surgery G56199 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Lars Peter Enevoldsen is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice 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

Reviews and Comments


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