Individual
DR. LARISSA ALEXANDRA MCMAHON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
3355 UNION LAKE RD, COMMERCE TOWNSHIP, MI 48382-4551
(248) 242-2123
Mailing address
39525 W 14 MILE RD, STE 100, NOVI, MI 48377-1635
(248) 242-2123
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301008198
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
950F33490
BCBS
MA
Enumeration date
08/28/2006
Last updated
11/21/2019
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