Lawrence Benidict Russell, PA-C
NPI #1336148147 in Fairview, Pennsylvania
Provider Information
- NPI Number
- 1336148147
- Entity Type
- Individual
- Name
- Lawrence Benidict Russell, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Jul 14, 2005
- Last Updated
- Apr 16, 2013
Practice Location
- Address
- 7287 W RIDGE RD
- City
- Fairview
- State
- Pennsylvania
- ZIP Code
- 16415-1130
- Phone
- (814) 877-2360
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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