LORI RUSSELL

TULLAHOMA, TN
NPI1891798377
Former NameLORI NEAL
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: TN  1198)
Enumeration Date2005-05-27
Last Update Date2012-07-06
Business Address
-- LORI RUSSELL P.A.
100 HUNTERS LN SUITE 100
TULLAHOMA, TN 37388-8263
Phone number: 931-455-4616
Mailing Address
-- LORI RUSSELL P.A.
100 HUNTERS LN SUITE 100
TULLAHOMA, TN 37388-8263
Phone number: 931-455-4616
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