Larisa Pogorelova
Registered Nurse, Critical Care Medicine in Southfield, MI. Individual provider (NPI-1).
NPI number1114639986
StatusActive
Last updated in NPPESDec 23, 2022
Details
- NPI
- 1114639986
- Entity type
- Individual (NPI-1)
- Name
- Larisa Pogorelova
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 23, 2022
- Certification date
- Dec 23, 2022
- Last updated
- Dec 23, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WC0200X | Registered Nurse, Critical Care Medicine | 4704320981 | MI | Yes |
Other names
- Larisa Myakhkov (Former Name)
Practice location
16001 W 9 Mile RdSouthfield, MI 48075-4818
Phone 248-849-3150
Mailing address
24828 Toddy LnFarmington Hills, MI 48335-2075
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