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Lori M Russo, LPN
Licensed Practical Nurse in Collegeville, Pennsylvania
NPI 1720105174

Lori M Russo is a Licensed Practical Nurse based in Collegeville, PA. Lori M Russo practices in Collegeville, PA and has the professional credentials of LPN. The NPI Number for Lori M Russo is 1720105174 and holds a License No. PN103488L (Pennsylvania).

The current practice location address for Lori M Russo is 4305 Gypsy Ln, Collegeville, PA and can be reached out via phone at 484-686-4464 and via fax at 267-354-6899.

Location: 4305 Gypsy Ln, Collegeville, PA, 19426-1165
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1720105174
Provider Name
Lori M Russo
Credential
LPN
Provider Entity Type
Individual
Gender
Female
Address
4305 Gypsy Ln, Collegeville, PA, 19426-1165
Phone Number
484-686-4464
Fax Number
267-354-6899
Provider Enumeration Date
03/23/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4305 Gypsy Ln
City
Collegeville
State
Pennsylvania
Zip
19426-1165
Phone Number
484-686-4464
Fax Number
267-354-6899
person
Provider Business Mailing Address Details
Address
4305 Gypsy Ln
City
Collegeville
State
Pennsylvania
Zip
19426-1165
Phone Number
484-686-4464
Fax Number
267-354-6899
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
PN103488L (Pennsylvania)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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