LAWRENCE RUSSELL

LITTLE ROCK, AR
NPI1992041909
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2012-12-19
Last Update Date2012-12-19
Business Address
-- LAWRENCE RUSSELL
2000 ALDERSGATE RD
LITTLE ROCK, AR 72205-7018
Phone number: 501-217-0183
Mailing Address
-- LAWRENCE RUSSELL
PO BOX 56050
LITTLE ROCK, AR 72215-6050
Phone number: 501-661-0720