Individual
DR. JEANETTE PUESCHEL LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
0101270991
VA
2084N0400X
Neurology Physician
Primary
200701520
NC
2084N0400X
Neurology Physician
27215
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200701520
STATE LICENSE
NC
01
—
27215
STATE LICENSE
AZ
Enumeration date
03/15/2006
Last updated
04/08/2025
Update your record
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