Olivia Mae Larussa
Sports Medicine Orthopaedic Surgeon
1701 N George Mason Dr
Arlington
, Virginia 22205-3610
Olivia Mae Larussa
Sports Medicine Orthopaedic Surgeon
1701 N George Mason Dr
Arlington
, Virginia 22205-3610
(202) 741-3219
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About
Features
Specialties
- Sports Medicine Orthopaedic Surgeon
Languages spoken
- English
Location
First Address
- Olivia Mae Larussa
- 1701 N George Mason Dr
- Arlington, VA
- Zip : 22205-3610
- Fax : (202) 741-3219
- Phone : (202) 677-6219
Second Address
- Olivia Mae Larussa
- 1701 N George Mason Dr
- Arlington, VA
- Zip : 22205-3610
- Phone : (202) 677-6219
Reviews
FAQs
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Is Olivia Mae Larussa a sole practitioner?
Is Olivia Mae Larussa accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207XX0005X | Sports Medicine Orthopaedic Surgeon | TL2763 | SC |
National Provider Identifier
| NPI | 1023530342 |
|---|---|
| Provider Name | Olivia Mae Larussa |
| First Address | Arlington, VA 22205-3610 |
| Second Address | Arlington, VA 22205-3610 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/07/2017 |
| Last Update Date | 18/12/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 3448PA | (05) | SC |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.