Individual
LARISSA LEFFINGWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4100 SION FARM SHOPP CTR, 5, CHRISTIANSTED, VI 00820-4433
(340) 713-7000
Mailing address
PO BOX 5988, CHRISTIANSTED, VI 00823-5988
(340) 713-7000
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
065
VI
Other
Enumeration date
09/09/2016
Last updated
09/09/2016
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