NPI 1023530342

Olivia Mae Larussa, PAC

Practitioner Medical Physician Assistant Washington, DC

Practice location

Address: 900 23rd St NW, Washington, DC 20037-2342
Phone: (202) 741-3000
Mailing address: 3811 Fairfax Dr STE 1000, Arlington, VA 22203-1782

Registered specialties (3)

Medical Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X Licence PA200001702 (DC)

Other Physician Assistant providers in District of Columbia →

Sports Medicine (Orthopaedic Surgery) Physician

Allopathic & Osteopathic Physicians Taxonomy 207XX0005X Licence TL2763 (SC)

Other Orthopaedic Surgery providers in District of Columbia →

Surgical Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AS0400X Licence 2763 (SC)

Registry record

NPI: 1023530342
Entity type: Individual
Sex (as registered): Female
NPI issued: 7 Jul 2017
Record last updated: 21 Nov 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.