Individual
LARRILYN LOUISE GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2611 WAYNE AVE BLDG 61, DAYTON, OH 45420-1833
(937) 228-0579
Mailing address
6400 E BROAD ST STE 400, COLUMBUS, OH 43213-2979
(614) 655-3345
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
35.144386
OH
2084P0804X
Child & Adolescent Psychiatry Physician
35.144386
OH
Other
Enumeration date
04/05/2018
Last updated
04/18/2025
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