MRS. Jean Russo, LPN

NPI #1720100233 in Lisbon, New York

Provider Information

NPI Number
1720100233
Entity Type
Individual
Name
MRS. Jean Russo, LPN
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Licensed Practical Nurse
Credential
LPN
Enumeration Date
Apr 4, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
71 KEYES RD
City
Lisbon
ZIP Code
13658-3204
Phone
(315) 393-7732

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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