Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LARESE WOOD, HEALTH CARE PROVIDER
Active Sole ProprietorLARESE WOOD, HEALTH CARE PROVIDER is a 376G00000X healthcare provider located in OAK PARK, Michigan. NPI 1457877110 is currently active in the NPPES registry. Verify at CMS.
376G00000X · OAK PARK, MI
Registration Details
- NPI Number
- 1457877110
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 15, 2017 (9.007809280748 yrs)
- Last Updated
- Jul 21, 2022
- Sole Proprietor
- Yes
Practice Information
- Address
-
26505 COOLIDGE HWYOAK PARK, MI, 482371114Browse MI providers · Browse ZIP 48237
- Phone
- 2486327411
- Primary Specialty
-
376G00000X
376G00000X
Other 376G00000X Providers in OAK PARK, MI
| Name | Credential | NPI |
|---|---|---|
| SHANELL CLARK | — | 1972958106 |
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.