Individual
MRS. LARESSE HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Contact information
Practice address
1100 W 6TH AVE, GARY, IN 46402-1711
(219) 885-4264
Mailing address
430 EAS 162ND STREET, STE 573, SOUTH HOLLAND, IL 60473
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209.022243
IL
Other
Enumeration date
10/21/2020
Last updated
10/21/2020
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