LAINE RUSSELL, D.O.

Family Medicine

Active Individual
NPI: 1578552444

Practice Address

407 S MEDICAL ARTS CT
SUITE F
Gillette, WY 82716

Phone: (307) 682-1441

Specialties

Specialty Code Primary License
Family Medicine 207Q00000X Yes 6623A (WY)

Frequently Asked Questions

NPI 1578552444 is the National Provider Identifier for LAINE RUSSELL, D.O., a Family Medicine provider located in Gillette, WY. This NPI was enumerated on October 13, 2005.
LAINE RUSSELL, D.O. practices at 407 S MEDICAL ARTS CT, SUITE F, Gillette, WY 82716.

Quick Facts

NPI
1578552444
Type
Individual
Enumerated
Oct 13, 2005
Last Updated
Jan 2, 2008

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