Individual
LARISSA LYNN DORMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6296 POINT ISABEL WAY, LAS VEGAS, NV 89122-7630
(702) 781-6405
Mailing address
6296 POINT ISABEL WAY, LAS VEGAS, NV 89122-7630
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
CHW1-6425
NV
175T00000X
Peer Specialist
PRSS-INT-5438
NV
Other
Enumeration date
03/23/2026
Last updated
03/23/2026
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