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Lacy D. Russell, APRN
Family Nurse Practitioner in Salyersville, Kentucky
NPI 1275001869

Lacy D. Russell is a Family Nurse Practitioner based in Salyersville, KY and is specialized in Family. Lacy D. Russell practices in Salyersville, KY and has the professional credentials of APRN. The NPI Number for Lacy D. Russell is 1275001869 and holds a License No. 3012873 (Kentucky).

The current practice location address for Lacy D. Russell is 268 E Maple St, Salyersville, KY and can be reached out via phone at 606-349-5300 and via fax at 606-349-5312.

Location: 268 E Maple St, Salyersville, KY, 41465-8032
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1275001869
Provider Name
Lacy D. Russell
Credential
APRN
Provider Entity Type
Individual
Gender
Female
Address
268 E Maple St, Salyersville, KY, 41465-8032
Phone Number
606-349-5300
Fax Number
606-349-5312
Provider Enumeration Date
11/13/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7100600540 05 KY
institution
Provider Business Practice Location Address Details
Address
268 E Maple St
City
Salyersville
State
Kentucky
Zip
41465-8032
Phone Number
606-349-5300
Fax Number
606-349-5312
person
Provider Business Mailing Address Details
Address
268 E Maple St
City
Salyersville
State
Kentucky
Zip
41465-8032
Phone Number
606-349-5300
Fax Number
606-349-5312
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
3012873 (Kentucky)
Definition
Definition to come...
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