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LARISA AVRAMOVNA GAVRILYUK
NPI 1124774229
Student in an Organized Health Care Education/Training Program in Oak Park, MI

Active since February 28, 2022
14061 LUDLOW ST, OAK PARK, MI 48237(248) 854-4302 Get Directions Write a Review

NPPES record last updated: February 28, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Larisa Avramovna Gavrilyuk NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LARISA AVRAMOVNA GAVRILYUK (NPI 1124774229) is an individual student in an organized health care education/training program in Oak Park, Michigan and active in the NPI registry since February 2022.

NPPES Registry Identity

NPI1124774229
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameLARISA AVRAMOVNA GAVRILYUK
Location Address14061 LUDLOW STOak Park, MI 48237-1352
Mailing Address26020 Coolidge HwyHuntington Woods, MI 48070-1415 · (248) 545-8020 · Fax (248) 582-3794
Phone(248) 854-4302
Sole ProprietorYes
Enumeration DateFebruary 28, 2022
NPPES CertifiedFebruary 26, 2022
✔ NPI 1124774229 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
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.
14061 LUDLOW ST, Oak Park, MI 48237
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Other Identifiers 1

Other5303008597MI · Pharmacy Technician License

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Larisa Gavrilyuk's NPI number?

The NPI number for Larisa Gavrilyuk is 1124774229. It was assigned to this individual provider in the NPPES registry on February 28, 2022.

Where is Larisa Gavrilyuk located?

Larisa Gavrilyuk practices at 14061 Ludlow St, Oak Park, MI 48237. The listed phone number is (248) 854-4302.

What is Larisa Gavrilyuk's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Larisa Gavrilyuk was last updated on February 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.