LAWRENCE RUSSELL, PA-C
Physician Assistant
Active
Individual
NPI: 1336148147
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant | 363A00000X | Yes | MA000191L (PA) |
Frequently Asked Questions
NPI 1336148147 is the National Provider Identifier for LAWRENCE RUSSELL, PA-C, a Physician Assistant provider located in Fairview, PA. This NPI was enumerated on July 14, 2005.
LAWRENCE RUSSELL, PA-C practices at 7287 W RIDGE RD, Fairview, PA 16415.
Quick Facts
- NPI
- 1336148147
- Type
- Individual
- Enumerated
- Jul 14, 2005
- Last Updated
- Apr 16, 2013
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