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

Larissa De Souza, MD

Individual provider Dermatology Physician · NPI 1801683669

Larissa De Souza, MD is a Dermatology Physician in Saint Louis, Missouri. Licensed in Missouri. Registered with an NPI since 2025.

Licensed in
MO
In the registry since
2025
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4901 Forest Park Ave
Saint Louis, MO 63108-1495
Phone: (314) 273-3376
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 2026021052 (MO)

Record details

NPI number1801683669
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 23, 2025
Last updated in NPPESJuly 5, 2026
Certification dateJuly 5, 2026

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