Individual
DR. JERRY G. LARRABEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, MED
Contact information
Practice address
2211 LOMAS BLVD NE, ALBUQUERQUE, NM 87106-2719
(505) 272-2345
Mailing address
800 BRADBURY DR SE STE 116, ALBUQUERQUE, NM 87106-4310
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
42-0010915
VT
208000000X
Pediatrics Physician
Primary
MD2019-0730
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1011378
—
VT
Enumeration date
08/02/2006
Last updated
04/02/2025
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