Russell, Lori
Russell, Lori is an individual health care provider with primary practice located at 100 Hunters Ln Suite 100, Tullahoma TN 37388-8263. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Russell, Lori can be contacted via phone (931) 455-4616.Contact Information
Primary practice address
100 Hunters Ln Suite 100
Tullahoma TN 37388-8263
Phone: (931) 455-4616
Fax: (931) 455-2362
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 1198 | Tennessee |
Profile Details
| NPI number | 1891798377 |
|---|---|
| LBN Legal business name | Russell, Lori |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 27th, 2005 |
| Last updated | Jul 6th, 2012 - about 14 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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