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Individual

LARISA KAISER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
2000 16TH AVE BLDG 3, COLUMBUS, GA 31901-1600
(706) 320-3770
(706) 320-3772
Mailing address
2000 16TH AVE BLDG 3, COLUMBUS, GA 31901-1600
(706) 320-3770
(706) 320-3772

Taxonomy

Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
RN245460
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN11013344
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
RN245460
GA

Other

Enumeration date
07/30/2019
Last updated
12/28/2021
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