Individual provider · Type 1 NPI

Olivia Mae Larussa, PA-C

Medical Physician Assistant · Washington, DC

NPI number 1023530342 Active

Practice location

900 23rd St NW
Washington, DC 20037-2342

Call (202) 741-3000 Map

Mailing address

3811 Fairfax Dr Ste 1000
Arlington, VA 22203-1782

Other practice locations

  • 1701 N George Mason Dr, Arlington, VA 22205-3610 · (202) 677-6219
  • 9 Medical Park Drive, Suite, 450, Columbia, SC 29203-6859 · (803) 434-8800

Specialties and licenses

TaxonomyCodeLicense
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005XTL2763 (SC)
Surgical Physician Assistant 363AS0400X2763 (SC)
Medical Physician Assistant Primary 363AM0700XPA200001702 (DC)

Medical Physician Assistant: Definition to come...

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About NPI 1023530342

Olivia Mae Larussa, PA-C's National Provider Identifier is 1023530342, issued on Jul 7, 2017. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Washington, DC. The record was last updated on Nov 21, 2023.