LORIE RUSSELL

JOLIET, IL
NPI1205971405
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy183700000X Pharmacy Technician
(Licence: IL  049153519)
Enumeration Date2007-02-21
Last Update Date2007-07-08
Business Address
-- LORIE RUSSELL
2130 W JEFFERSON ST
JOLIET, IL 60435-6622
Phone number: 815-725-1102
Mailing Address
-- LORIE RUSSELL
116 E 3RD ST
BRAIDWOOD, IL 60408-1512
Phone number: