Penny Lee Russell, LDO ABO NCLE
NPI #1295425734 in Fort Myers Beach, Florida
Provider Information
- NPI Number
- 1295425734
- Entity Type
- Individual
- Name
- Penny Lee Russell, LDO ABO NCLE
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Technician/Technologist - Optician
- Credential
- LDO ABO NCLE
- Enumeration Date
- May 9, 2023
- Last Updated
- May 9, 2023
Practice Location
- Address
- 17105 SAN CARLOS BLVD
- City
- Fort Myers Beach
- State
- Florida
- ZIP Code
- 33931-5305
- Phone
- (239) 340-7071
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician/Technologist - Optician — Optician |
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