| NPI | 1376001172 |
|---|---|
| Doing Business As | LARISA KACHOWSKI FAMILY MEDICINE, LLC |
| Entity Type | Organization |
| Authorized Contact | LARISA KACHOWSKI Owner 501-502-4071 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2019-03-11 |
| Last Update Date | 2019-04-01 |