Provider Demographics
NPI:1831387877
Name:JENSEN, LARS V (CP)
Entity type:Individual
Prefix:
First Name:LARS
Middle Name:V
Last Name:JENSEN
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Gender:M
Credentials:CP
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Mailing Address - Street 1:190 N WIGET LN
Mailing Address - Street 2:SUITE 109
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94598-2440
Mailing Address - Country:US
Mailing Address - Phone:925-935-9194
Mailing Address - Fax:925-935-9591
Practice Address - Street 1:190 N WIGET LN
Practice Address - Street 2:SUITE 109
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94598-2440
Practice Address - Country:US
Practice Address - Phone:925-935-9194
Practice Address - Fax:925-935-9591
Is Sole Proprietor?:No
Enumeration Date:2007-10-03
Last Update Date:2016-01-22
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224P00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersProsthetist