Cooley, Larissa

Cooley, Larissa is an individual health care provider with primary practice located at 6701 N Charles St , Towson MD 21204-6808. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Cooley, Larissa can be contacted via phone (443) 849-2597.

Contact Information

Primary practice address
6701 N Charles St Towson MD 21204-6808
Phone: (443) 849-2597
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X C07339 Maryland

Profile Details

NPI number 1093350365
LBN Legal business name Cooley, Larissa
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 11th, 2019
Last updated Nov 11th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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