LARISSA ANNE KAVANAGH

CHARLOTTE, NC
NPI1306256250
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NC  0010-05013)
Enumeration Date2014-04-30
Last Update Date2023-12-20
Business Address
LARISSA ANNE KAVANAGH PA
10650 PARK RD
CHARLOTTE, NC 28210-8538
Phone number: 704-667-3840
Mailing Address
LARISSA ANNE KAVANAGH PA
PO BOX 19305
CHARLOTTE, NC 28219-9305
Phone number:
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