Lily Marie Russell, PA-C

NPI #1598543621 in Augusta, Maine

Provider Information

NPI Number
1598543621
Entity Type
Individual
Name
Lily Marie Russell, PA-C
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant
Credential
PA-C
Enumeration Date
Sep 19, 2023
Last Updated
Aug 28, 2024

Practice Location

Address
15 ENTERPRISE DR
State
Maine
ZIP Code
04330-7997
Phone
(207) 621-8880

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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