Russo, Karren

Russo, Karren is an individual health care provider with primary practice located at 2495 Shreveport Hwy , Pineville LA 71360-4044. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Russo, Karren can be contacted via phone (318) 473-0010.

Contact Information

Primary practice address
2495 Shreveport Hwy Pineville LA 71360-4044
Phone: (318) 473-0010
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X L12631R Louisiana

Profile Details

NPI number 1467413815
LBN Legal business name Russo, Karren
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2006
Last updated Sep 11th, 2023 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1467413815 NPPES
Louisiana MEDICAID 1541362
Louisiana Other P00178010

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