Individual
DR. LARISA YELUNINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
675 TOWER AVE STE 301, HARTFORD, CT 06112-1274
(860) 714-2750
Mailing address
675 TOWER AVE STE 301, HARTFORD, CT 06112-1274
(860) 714-2750
(860) 714-8591
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
048293
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1265647713
—
CT
Enumeration date
05/10/2007
Last updated
03/15/2017
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