Russell, Larisa Viktorovna

Russell, Larisa Viktorovna is an individual health care provider with primary practice located at 4600 Highway 280 , Birmingham AL 35242-5028. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Russell, Larisa Viktorovna can be contacted via phone (205) 408-1231.

Contact Information

Primary practice address
4600 Highway 280 Birmingham AL 35242-5028
Phone: (205) 408-1231
Fax: (205) 408-1229
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 057050 Georgia
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 26797 Alabama

Profile Details

NPI number 1104812494
LBN Legal business name Russell, Larisa Viktorovna
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2005
Last updated Aug 16th, 2023 - about 3 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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