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Individual
MRS. LARISA LYNN HAMMOND
Active
Individual
MRS. LARISA LYNN HAMMOND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
NURAPRNLIC130501
MT
363LF0000X
Family Nurse Practitioner
Primary
130501
MT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
NUR-APRN-LIC-130501
MT
Other
Enumeration date
05/17/2018
Last updated
06/01/2026
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