Russell, Alecia Nicole

Russell, Alecia Nicole is an individual health care provider with primary practice located at 999 S Fairmont Ave Ste. 230, Lodi CA 95240-5100. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Russell, Alecia Nicole can be contacted via phone (209) 334-4924.

Contact Information

Primary practice address
999 S Fairmont Ave Ste. 230 Lodi CA 95240-5100
Phone: (209) 334-4924
Fax: (209) 334-0127
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 20A14816 California

Profile Details

NPI number 1851650469
LBN Legal business name Russell, Alecia Nicole
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2012
Last updated Sep 16th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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