Lisa Russell

NPI #1992418552 in Norman, Oklahoma

Provider Information

NPI Number: 1992418552
Entity Type: Individual
Name: Lisa Russell
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Dec 28, 2022
Last Updated: Dec 28, 2022

Practice Location

Address: 900 E MAIN ST
City: Norman
State: Oklahoma
ZIP Code: 73071-5305
Phone: (405) 321-4880

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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