Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LARISSA M DIMITROV, MD
ActiveLARISSA M DIMITROV, MD is a Family Medicine healthcare provider located in SHOREVIEW, Minnesota. NPI 1386827053 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · SHOREVIEW, MN
Registration Details
- NPI Number
- 1386827053
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 17, 2007 (18.661237974443 yrs)
- Last Updated
- Sep 26, 2023
- Licenses
-
72958 (MN)72958 (MN)
Practice Information
- Address
-
4166 LEXINGTON AVE NSHOREVIEW, MN, 551266106Browse MN providers · Browse ZIP 55126
- Phone
- 6514835461
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Family Medicine
Other Family Medicine Providers in SHOREVIEW, MN
| Name | Credential | NPI |
|---|---|---|
| AZRA WEBER | M.D. | 1912974692 |
| RICHARD D. GLASOW | MD | 1487614335 |
| ANNE W CAMPBELL | MD | 1508827635 |
| ROSS E ANDERSON | MD | 1619938420 |
| EDWARD MARTEL DENNISON | MD | 1457313587 |
| JOHN PAUL LUNDGREN | MD | 1013979939 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.