Lisa Dawn Russell NP-C

NPI 1730514316 - Nurse Practitioner - 363LF0000X

NPI Details
NPI 1730514316
Gender Female
Enumeration Date 09/13/2013
Last Updated 02/29/2016
Entity Type Individual
Active Over 3 years ago
Practice Location
1343 COUNTY ROAD 1450 E
CARMI IL, 62821-5205, US
Phone (618) 382-2103
Business Location
18033 COUNTY ROAD 500 E
DAHLGREN IL, 62828-4294, US
Phone (618) 648-2668
Taxonomy Code 363LF0000X
License State Indiana
License Number 28101863A
Remove 1730514316 NPI Number

According to our database, Lisa Dawn Russell NP-C NPI is 1730514316, taxonomy code is 363LF0000X and license number is 28101863A, license state is located at Indiana. Lisa Dawn Russell NP-C physically located at 1343 County Road 1450 E, Carmi IL, 62821-5205. NPI Number Lisa Dawn Russell NP-C has the Individual type.

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1730514316 NPI number is provided on an as is basis without warranty of any kind. 1730514316 is maintained by the National Plan & Provider Enumeration System. The contents of Lisa Dawn Russell NP-C are for informational purposes only.