Individual
MS. LARISSA LASO RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
8243 MEADOWBRIDGE RD, MECHANICSVILLE, VA 23116-2329
(804) 800-6660
(804) 806-4422
Mailing address
8135 FOREST LN # 515057, DALLAS, TX 75230-2472
(804) 264-8782
(804) 266-9214
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
0024178283
VA
Other
Enumeration date
09/28/2019
Last updated
04/16/2026
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