| NPI | 1760865612 |
|---|---|
| Former Name | LYNNE LAURENCE RUSSELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WX0200X Registered Nurse, Oncology (Licence: OH RN2776831) |
| Additional Taxonomies | 163WX0200X Registered Nurse, Oncology (Licence: OH coa08030-ns) |
| Enumeration Date | 2015-07-09 |
| Last Update Date | 2015-07-09 |