LARISA GEORGY CIATLOS-DEAK

DECATUR, IL
NPI1497283774
Former NameLARISA RUDICA DEAK
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: IL  036153610)
Enumeration Date2017-05-31
Last Update Date2020-07-15
Business Address
Miss LARISA GEORGY CIATLOS-DEAK MD
4965 E LOST BRIDGE RD
DECATUR, IL 62521-5139
Phone number: 217-864-5531
Mailing Address
Miss LARISA GEORGY CIATLOS-DEAK MD
4965 E LOST BRIDGE RD
DECATUR, IL 62521-5139
Phone number: 217-864-5531