Lora A Russell, APRN
NPI #1114571429 in Madisonville, Kentucky
Provider Information
- NPI Number
- 1114571429
- Entity Type
- Individual
- Name
- Lora A Russell, APRN
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Family
- Credential
- APRN
- Enumeration Date
- Jul 25, 2019
- Last Updated
- Jul 25, 2019
Practice Location
- Address
- 419 N SEMINARY ST
- City
- Madisonville
- State
- Kentucky
- ZIP Code
- 42431-1515
- Phone
- (731) 394-1145
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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