DR. LARS PETER ENEVOLDSEN M.D.
NPI 1437356235
Plastic Surgery in Modesto, CA

Active since June 27, 2007
220 W ORANGEBURG AVE, MODESTO, CA 95350(209) 524-6204(209) 524-0405 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Lars Peter Enevoldsen M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. LARS PETER ENEVOLDSEN M.D. (NPI 1437356235) is an individual plastic surgery provider in Modesto, California, licensed in California (G56199) and active in the NPI registry since June 2007.

NPPES Registry Identity

NPI1437356235
Entity TypeIndividualMale
Primary Taxonomy208200000X
Provider Legal NameDR. LARS PETER ENEVOLDSENCredential: M.D.
Location Address220 W ORANGEBURG AVEModesto, CA 95350-4417
Mailing Address220 W Orangeburg AveModesto, CA 95350-4417 · (209) 524-6204 · Fax (209) 524-0405
Fax(209) 524-0405
Sole ProprietorYes
Enumeration DateJune 27, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1437356235 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
License Licensed in CA · G56199
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 cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
220 W ORANGEBURG AVE, Modesto, CA 95350

Other Identifiers 1

Medicare UPINE68040CA

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lars Enevoldsen's NPI number?

The NPI number for Lars Enevoldsen is 1437356235. It was assigned to this individual provider in the NPPES registry on June 27, 2007.

Where is Lars Enevoldsen located?

Lars Enevoldsen practices at 220 W Orangeburg Ave, Modesto, CA 95350. The listed phone number is (209) 524-6204.

What is Lars Enevoldsen's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

When was this NPI record last updated?

The NPPES record for Lars Enevoldsen was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.