MICHAEL SHANE RUSSELL

WEST MONROE, LA
NPI1568151082
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy111N00000X Chiropractor
(Licence: LA  1616)
Enumeration Date2023-05-01
Last Update Date2023-05-01
Business Address
MICHAEL SHANE RUSSELL DC
403 N SIXTH STREET STE 8 AND STE 9
WEST MONROE, LA 71291
Phone number: 318-303-6142
Mailing Address
MICHAEL SHANE RUSSELL DC
3517 PEGRAM CIR
MONROE, LA 71201-2159
Phone number: 504-583-0822