Ravdel, Larisa Y

Ravdel, Larisa Y is an individual health care provider with primary practice located at 1421 S Potomac St Ste 320 , Aurora CO 80012-4512. She recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as her primary health care specialty. Ravdel, Larisa Y can be contacted via phone (303) 750-1920.

Contact Information

Primary practice address
1421 S Potomac St Ste 320 Aurora CO 80012-4512
Phone: (303) 750-1920
Fax: (303) 750-0483
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 40458 Iowa

Profile Details

NPI number 1407007461
LBN Legal business name Ravdel, Larisa Y
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 8th, 2008
Last updated Jun 13th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407007461 NPPES
Iowa MEDICAID 1407007461

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