LORI RUSSELL, P.A.
Physician Assistant - Medical
Active
Individual
NPI: 1891798377
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant - Medical | 363AM0700X | Yes | 1198 (TN) |
Frequently Asked Questions
NPI 1891798377 is the National Provider Identifier for LORI RUSSELL, P.A., a Physician Assistant - Medical provider located in Tullahoma, TN. This NPI was enumerated on May 27, 2005.
LORI RUSSELL, P.A. practices at 100 HUNTERS LN, SUITE 100, Tullahoma, TN 37388.
Quick Facts
- NPI
- 1891798377
- Type
- Individual
- Enumerated
- May 27, 2005
- Last Updated
- Jul 6, 2012
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