Individual provider · Type 1 NPI

Larissa De Souza, MD

Dermatology Physician · St. Louis, MO

NPI number 1801683669 Active

Practice location

4901 Forest Park Ave
St. Louis, MO 63108-1495

Call (314) 273-3376 Map

Mailing address

1717 Olive St Apt 423
St. Louis, MO 63103-1774

Specialties and licenses

TaxonomyCodeLicense
Dermatology Physician Primary 207N00000X2026021052 (MO)

Dermatology Physician: A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis an…

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About NPI 1801683669

Larissa De Souza, MD's National Provider Identifier is 1801683669, issued on Apr 23, 2025. The primary taxonomy on file is Dermatology Physician (207N00000X), and the practice location is in St. Louis, MO. The record was last updated on Jul 5, 2026.