Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Lars Peter Enevoldsen, MD

Individual provider Plastic Surgery Physician · NPI 1437356235

Dr. Lars Peter Enevoldsen, MD is a Plastic Surgery Physician in Modesto, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

220 W Orangeburg Ave
Modesto, CA 95350-4417
Phone: (209) 524-6204
Fax: (209) 524-0405
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic Surgery Physician (primary) Taxonomy 208200000X · Licence G56199 (CA)

Record details

NPI number1437356235
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 27, 2007
Last updated in NPPESJuly 8, 2007
Mailing address220 W Orangeburg Ave, Modesto, CA 95350-4417

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