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Individual

LARISA ALEXEYEVNA YARCZOWER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1000 E. MOUNTAIN DRIVE, WILKES-BARRE, PA 18702
(570) 820-6150
(570) 342-3316
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
(570) 271-6578

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA003388L
PA

Other

Enumeration date
10/24/2006
Last updated
08/11/2020
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