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Individual

DR. LARISA RAVITSKIY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
35092083
OH
207N00000X
Dermatology Physician
41743
AZ
207N00000X
Dermatology Physician
Primary
50664
AL
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
35092083
OH
207ND0101X
MOHS-Micrographic Surgery Physician
50664
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2901560
OH
Enumeration date
08/08/2006
Last updated
07/27/2026
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