MR. GARY RUSSELL JR.

Case Manager/Care Coordinator

Active Individual
NPI: 1811478498

Practice Address

1455 DIXON AVE
Lafayette, CO 80026

Phone: (720) 406-3604

Specialties

Specialty Code Primary License
Case Manager/Care Coordinator 171M00000X Yes -

Frequently Asked Questions

NPI 1811478498 is the National Provider Identifier for MR. GARY RUSSELL JR., a Case Manager/Care Coordinator provider located in Lafayette, CO. This NPI was enumerated on August 22, 2018.
MR. GARY RUSSELL JR. practices at 1455 DIXON AVE, Lafayette, CO 80026.

Quick Facts

NPI
1811478498
Type
Individual
Enumerated
Aug 22, 2018
Last Updated
Dec 30, 2024

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