Provider Demographics
NPI:1508092511
Name:DOBRANSKY, LARISSA N (MD)
Entity Type:Individual
Prefix:
First Name:LARISSA
Middle Name:N
Last Name:DOBRANSKY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13710 ST. FRANCIS BLVD
Mailing Address - Street 2:ST. FRANCIS MEDICAL CENTER
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:VA
Mailing Address - Zip Code:23114
Mailing Address - Country:US
Mailing Address - Phone:757-450-4813
Mailing Address - Fax:
Practice Address - Street 1:13710 ST. FRANCIS BLVD
Practice Address - Street 2:ST. FRANCIS MEDICAL CENTER
Practice Address - City:MIDLOTHIAN
Practice Address - State:VA
Practice Address - Zip Code:23114
Practice Address - Country:US
Practice Address - Phone:757-450-4813
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-06-04
Last Update Date:2023-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101251472208M00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist