Provider Demographics
NPI:1255991683
Name:LAROWE, ALEXISS (DACM, LAC, DIPL OM)
Entity type:Individual
Prefix:DR
First Name:ALEXISS
Middle Name:
Last Name:LAROWE
Suffix:
Gender:F
Credentials:DACM, LAC, DIPL OM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2363 NEEDHAM RD STE 130
Mailing Address - Street 2:
Mailing Address - City:EL CAJON
Mailing Address - State:CA
Mailing Address - Zip Code:92020-2028
Mailing Address - Country:US
Mailing Address - Phone:760-803-5995
Mailing Address - Fax:
Practice Address - Street 1:2363 NEEDHAM RD STE 130
Practice Address - Street 2:
Practice Address - City:EL CAJON
Practice Address - State:CA
Practice Address - Zip Code:92020-2028
Practice Address - Country:US
Practice Address - Phone:760-803-5995
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-18
Last Update Date:2022-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA18576171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist