Larisa G Reifman, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

24618 Issued in GA

Practice address

365 W Pike St
Suite 201
Lawrenceville, GA 30045-4862

Phone

(770) 962-8284

Fax

(678) 985-8007

NPI assigned

Apr 6, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508988817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "365 W PIKE ST",
            "address_2": "SUITE 201",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300454862",
            "telephone_number": "770-962-8284",
            "fax_number": "678-985-8007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 W PIKE ST",
            "address_2": "SUITE 201",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300454862",
            "telephone_number": "770-962-8284",
            "fax_number": "678-985-8007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REIFMAN",
        "first_name": "LARISA",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "24618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Refining Perceptions
• Region 13 Department of Family and Children SWS
• Kellie Eden Reich, LPC
• Dionne Reid-Hayles, LCSW
• Tiashyana Reid, LPN
• Relax Medicine, LLC
• Reliance Post-Op LLC
• Stephania Remy
• Renew Family Assessment Group, LLC
• Renee J Renfus, M.D.

• Internal Medicine Physician in Lawrenceville, GA
• Providers in Lawrenceville, GA by specialty
• Internal Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.