Individual
LEAH LARUSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2211 LOMAS BLVD NE, ALBUQUERQUE, NM 87106-2719
(505) 272-2111
Mailing address
601 MENAUL BLVD NE, UNIT 3905, ALBUQUERQUE, NM 87107-1531
(505) 228-4633
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2015-0094
NM
Other
Enumeration date
11/29/2015
Last updated
07/14/2023
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