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Larisa Pogorelova
Critical Care Medicine Registered Nurse in Southfield, Michigan
NPI 1114639986

Larisa Pogorelova is a Critical Care Medicine Registered Nurse based in Farmington Hills, MI and is specialized in Critical Care Medicine. Larisa Pogorelova practices in Southfield, MI. The NPI Number for Larisa Pogorelova is 1114639986 and holds a License No. 4704320981 (Michigan).

The current practice location address for Larisa Pogorelova is 16001 W 9 Mile Rd, Southfield, MI and can be reached out via phone at 248-849-3150.

Location: 16001 W 9 Mile Rd, Southfield, MI, 48335-2075
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1114639986
Provider Name
Larisa Pogorelova
Credential
Provider Entity Type
Individual
Gender
Female
Address
16001 W 9 Mile Rd, Southfield, MI, 48335-2075
Phone Number
248-849-3150
Fax Number
Provider Enumeration Date
12/23/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4704320981 01 MI MICHIGAN BOARD OF NURSING
institution
Provider Business Practice Location Address Details
Address
16001 W 9 Mile Rd
City
Southfield
State
Michigan
Zip
48075-4818
Phone Number
248-849-3150
Fax Number
person
Provider Business Mailing Address Details
Address
16001 W 9 Mile Rd
City
Southfield
State
Michigan
Zip
48075-4818
Phone Number
248-849-3150
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Critical Care Medicine
Taxonomy
163WC0200X
License No.
4704320981 (Michigan)
Definition
Definition to come...
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