Individual
DR. LARISSA M. CHISM BUGGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3607 S MAIN ST STE 1, SOUTH BEND, IN 46614-1723
(574) 345-5497
(877) 450-0123
Mailing address
3607 S MAIN ST STE 1, SOUTH BEND, IN 46614-1723
(574) 367-5350
(877) 450-0123
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
01065230A
IN
2084P0800X
Psychiatry Physician
036163626
IL
2084P0800X
Psychiatry Physician
20360
ND
2084P0800X
Psychiatry Physician
Primary
MED-PHYS-LIC-118499
MT
2084P0800X
Psychiatry Physician
V2869
TX
Other
Enumeration date
12/06/2006
Last updated
11/17/2025
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