Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Larisa Iacoban

Individual provider Physician Assistant · NPI 1912660929

Larisa Iacoban is a Physician Assistant in Clinton Township, Michigan. Licensed in Michigan. Registered with an NPI since 2021.

Licensed in
MI
In the registry since
2021

Practice location Address checks out

43361 Commons Dr
Clinton Township, MI 48038-1109
Phone: (586) 745-3006
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601011348 (MI)

Record details

NPI number1912660929
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 17, 2021
Last updated in NPPESDecember 16, 2024
Certification dateDecember 16, 2024
Mailing address43361 Commons Dr, Clinton Township, MI 48038-1109

Other providers in Clinton Township