Lisa Dawn Russell, NP-C

NPI #1730514316 in Carmi, Illinois

Provider Information

NPI Number
1730514316
Entity Type
Individual
Name
Lisa Dawn Russell, NP-C
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner - Family
Credential
NP-C
Enumeration Date
Sep 13, 2013
Last Updated
Feb 29, 2016

Practice Location

Address
1343 COUNTY ROAD 1450 E
City
Carmi
ZIP Code
62821-5205
Phone
(618) 382-2103

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily

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