LORA A RUSSELL

MADISONVILLE, KY
NPI1114571429
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner Family
(Licence: KY  3012804)
Enumeration Date2019-07-25
Last Update Date2019-07-25
Business Address
LORA A RUSSELL APRN
419 N SEMINARY ST
MADISONVILLE, KY 42431-1515
Phone number: 731-394-1145
Mailing Address
LORA A RUSSELL APRN
36 PEMBERTON CV
JACKSON, TN 38305-5514
Phone number: 731-394-1145
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