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Organization
LARISA KOUPERSCHMIDT MD LLC
Active
Organization
LARISA KOUPERSCHMIDT MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LARISA KOUPERSCHMIDT MD (OWNER)
(617) 905-2697
Entity
Organization
Contact information
Practice address
1212 N CALIFORNIA ST, STOCKTON, CA 95202-1552
(209) 468-8750
Mailing address
246 WALNUT ST STE 104, NEWTON, MA 02460-1639
(617) 244-3322
(617) 581-6040
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
246627
MA
Other
Enumeration date
11/26/2012
Last updated
10/24/2025
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