Laura Lynn Russell, PROVIDER
NPI #1245953645 in Lucasville, Ohio
Provider Information
- NPI Number
- 1245953645
- Entity Type
- Individual
- Name
- Laura Lynn Russell, PROVIDER
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Technician - Attendant Care Provider
- Credential
- PROVIDER
- Enumeration Date
- Sep 21, 2022
- Last Updated
- Sep 21, 2022
Practice Location
- Address
- 39WEST AVENUE
- City
- Lucasville
- State
- Ohio
- ZIP Code
- 45648-0448
- Phone
- (740) 821-7308
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician - Attendant Care Provider — Attendant Care Provider |
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