Individual
MRS. LARISA LYNN HAMMOND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
127 N HIGGINS AVE STE 6, MISSOULA, MT 59802-4457
(406) 960-4698
Mailing address
3300 WASHTENAW AVE STE 280, ANN ARBOR, MI 48104-5184
(406) 960-4698
Taxonomy
Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
NURAPRNLIC130501
MT
363LF0000X
Family Nurse Practitioner
130501
MT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
NUR-APRN-LIC-130501
MT
Other
Enumeration date
05/17/2018
Last updated
02/11/2025
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