DR. LARISA RUSSELL, M.D.
Family Medicine
Active
Individual
NPI: 1104812494
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Family Medicine | 207Q00000X | Yes | 26797 (AL) |
Frequently Asked Questions
NPI 1104812494 is the National Provider Identifier for DR. LARISA RUSSELL, M.D., a Family Medicine provider located in Birmingham, AL. This NPI was enumerated on September 22, 2005.
DR. LARISA RUSSELL, M.D. practices at 4600 HIGHWAY 280, Birmingham, AL 35242.
Quick Facts
- NPI
- 1104812494
- Type
- Individual
- Enumerated
- Sep 22, 2005
- Last Updated
- Aug 16, 2023
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