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Lisa Dawn Russell, NP-C
Family Nurse Practitioner in Carmi, Illinois
NPI 1730514316

Lisa Dawn Russell is a Family Nurse Practitioner based in Dahlgren, IL and is specialized in Family. Lisa Dawn Russell practices in Carmi, IL and has the professional credentials of NP-C. The NPI Number for Lisa Dawn Russell is 1730514316 and holds a License No. 28101863A (Illinois).

The current practice location address for Lisa Dawn Russell is 1343 County Road 1450 E, Carmi, IL and can be reached out via phone at 618-382-2103.

Location: 1343 County Road 1450 E, Carmi, IL, 62828-4294
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1730514316
Provider Name
Lisa Dawn Russell
Credential
NP-C
Provider Entity Type
Individual
Gender
Female
Address
1343 County Road 1450 E, Carmi, IL, 62828-4294
Phone Number
618-382-2103
Fax Number
Provider Enumeration Date
09/13/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1343 County Road 1450 E
City
Carmi
State
Illinois
Zip
62821-5205
Phone Number
618-382-2103
Fax Number
person
Provider Business Mailing Address Details
Address
1343 County Road 1450 E
City
Carmi
State
Illinois
Zip
62821-5205
Phone Number
618-382-2103
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
28101863A (Indiana)
Definition
Definition to come...
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