Laine C Russell, D.O.

NPI #1578552444 in Gillette, Wyoming

Provider Information

NPI Number
1578552444
Entity Type
Individual
Name
Laine C Russell, D.O.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Family Medicine
Credential
D.O.
Enumeration Date
Oct 13, 2005
Last Updated
Jan 2, 2008

Practice Location

Address
407 S MEDICAL ARTS CT
Address 2
SUITE F
State
Wyoming
ZIP Code
82716-3372
Phone
(307) 682-1441

Specialties & Taxonomy Codes

Specialty
Family Medicine

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