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1871974865
LISA PEARSE RUSSELL
LAWRENCE, KS
NPI
1871974865
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: KS 53-76794-031)
Enumeration Date
2015-06-15
Last Update Date
2016-12-01
Business Address
-- LISA PEARSE RUSSELL
346 MAINE ST
LAWRENCE, KS 66044-1393
Phone number: 785-841-7297
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Mailing Address
-- LISA PEARSE RUSSELL
346 MAINE ST STE 150
LAWRENCE, KS 66044-1393
Phone number: 785-841-7297
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