Individual
LARISSA A. LUTHER ROSSOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
715 N SAINT JOSEPH AVE, HASTINGS, NE 68901-4451
(402) 463-9841
Mailing address
420 W 5TH ST, STE 101, HASTINGS, NE 68901-7551
(402) 463-9841
(402) 463-9846
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
100839
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08604
BCBS
NE
Enumeration date
08/09/2005
Last updated
07/08/2007
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