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Fukuin Larissa
NPI 1972027365 · on the registry since 2017 · sole proprietor
Practice
- Address
- 9861 Good Luck Rd Apt 7
Lanham, MD 20706 - Phone
- (240) 616-8241
- Clinicians at this address
- 5
Registry record
- Primary taxonomy
- 374U00000X
374U00000X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2017-07-27
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maryland