Jacquelyn Larussa, M.D.

NPI #1093178360 in Grapevine, Texas

Provider Information

NPI Number: 1093178360
Entity Type: Individual
Name: Jacquelyn Larussa, M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Emergency Medicine
Credential: M.D.
Enumeration Date: Apr 3, 2016
Last Updated: Aug 8, 2019

Practice Location

Address: 1650 W COLLEGE ST
City: Grapevine
State: Texas
ZIP Code: 76051
Phone: (817) 481-1588

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medicine	207P00000X	Primary

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