person
Lori Russell, PA
Medical Physician Assistant in Tullahoma, Tennessee
NPI 1891798377

Lori Russell is a Medical Physician Assistant based in Tullahoma, TN and is specialized in Medical. Lori Russell practices in Tullahoma, TN and has the professional credentials of PA. The NPI Number for Lori Russell is 1891798377 and holds a License No. 1198 (Tennessee).

The current practice location address for Lori Russell is 100 Hunters Ln, Tullahoma, TN and can be reached out via phone at 931-455-4616 and via fax at 931-455-2362.

Location: 100 Hunters Ln, Tullahoma, TN, 37388-8263
person
Provider Profile Details
NPI Number
1891798377
Provider Name
Lori Russell
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
100 Hunters Ln, Tullahoma, TN, 37388-8263
Phone Number
931-455-4616
Fax Number
931-455-2362
Provider Enumeration Date
05/27/2005
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
100 Hunters Ln
City
State
Zip
37388-8263
Phone Number
931-455-4616
Fax Number
931-455-2362
person
Provider Business Mailing Address Details
Address
100 Hunters Ln
City
State
Zip
37388-8263
Phone Number
931-455-4616
Fax Number
931-455-2362
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
1198 (Tennessee)
Definition
Definition to come...
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