Search › Michigan › 225700000X
Larissa Head
NPI 1740879147 · on the registry since 2021 · sole proprietor
Practice
- Address
- 4659 Blackburn Ave
Portage, MI 49024 - Phone
- (989) 327-7920
Additional practice sites
- 6126 Lovers Ln, Portage, MI
Registry record
- Primary taxonomy
- 225700000X
225700000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-01-12
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan