LISA RUSSELL

NORMAL, IL
NPI1881672582
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: IL  041225329)
Enumeration Date2006-01-04
Last Update Date2007-07-08
Business Address
-- LISA RUSSELL CRNA
2200 FORT JESSE RD SUITE 240
NORMAL, IL 61761-6286
Phone number: 309-268-9300
Mailing Address
-- LISA RUSSELL CRNA
2200 FORT JESSE RD SUITE 240
NORMAL, IL 61761-6286
Phone number: 309-268-9300
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