Larisa Iacoban is a student in an organized health care education training program in Detroit, MI. The provider is 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. Larisa Iacoban NPI is 1912660929. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
4001 W MCNICHOLS RD
DETROIT, MI
ZIP 48221-038
Phone: (313) 993-1245
The enumeration date for this NPI number is 10/17/2021 and was last updated on 10/17/2021.