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



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

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Plastic Surgery Doctors in Modesto, CA

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    

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