# MCKENZE MARIE LARRABEE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1851015218
- **Gender:** F

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207XS0117X | Orthopaedic Surgery of the Spine Physician | 10003702A | IN | — |
| 363A00000X | Physician Assistant | 10003702A | IN | Yes |

## Other

- **Enumeration date:** 09/29/2022
- **Last updated:** 05/31/2023