Individual provider · Type 1 NPI

Larisa Avramovna Gavrilyuk

Student in an Organized Health Care Education/Training Program · Oak Park, MI

NPI number 1124774229 Active

Practice location

14061 Ludlow St
Oak Park, MI 48237-1352

Mailing address

26020 Coolidge Hwy
Huntington Woods, MI 48070-1415

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1124774229

Larisa Avramovna Gavrilyuk's National Provider Identifier is 1124774229, issued on Feb 28, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Oak Park, MI. The record was last updated on Feb 28, 2022.