person
Larisa Iacoban
Student in an Organized Health Care Education/Training Program in Detroit, Michigan
NPI 1912660929

Larisa Iacoban is a Student in an Organized Health Care Education/Training Program based in Detroit, MI. Larisa Iacoban practices in Detroit, MI. The NPI Number for Larisa Iacoban is 1912660929 and holds a License No. (Michigan).

The current practice location address for Larisa Iacoban is 4001 W Mcnichols Rd, Detroit, MI and can be reached out via phone at 313-993-1245.

Location: 4001 W Mcnichols Rd, Detroit, MI, 48221-3038
person
Provider Profile Details
NPI Number
1912660929
Provider Name
Larisa Iacoban
Credential
Provider Entity Type
Individual
Gender
Female
Address
4001 W Mcnichols Rd, Detroit, MI, 48221-3038
Phone Number
313-993-1245
Fax Number
Provider Enumeration Date
10/17/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4001 W Mcnichols Rd
City
State
Zip
48221-3038
Phone Number
313-993-1245
Fax Number
person
Provider Business Mailing Address Details
Address
4001 W Mcnichols Rd
City
State
Zip
48221-3038
Phone Number
313-993-1245
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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