Individual
LARISSA MARKEVICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2170 CENTURY PARK E, SUITE 1506, LOS ANGELES, CA 90067-2243
(213) 590-3480
(310) 286-1090
Mailing address
2170 CENTURY PARK E, SUITE 1506, LOS ANGELES, CA 90067-2243
(213) 590-3480
(310) 286-1090
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
13502
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13502
CALIFORNIA LISENCE
CA
01
—
RN502860
RN CERTIFICATE
CA
Enumeration date
04/20/2007
Last updated
11/22/2013
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