Lark, Russell Ellis

Lark, Russell Ellis is an individual health care provider with primary practice located at 1200 Valley West Dr Suite 707, West Des Moines IA 50266-1908. He recently has only one registered license in Behavioral Health & Social Service Providers / Counseling, which is considered as his primary health care specialty. Lark, Russell Ellis can be contacted via phone (515) 222-1999.

Contact Information

Primary practice address
1200 Valley West Dr Suite 707 West Des Moines IA 50266-1908
Phone: (515) 222-1999
Fax: (515) 224-3949
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counseling 103TC1900X 001057 Iowa

Profile Details

NPI number 1083872642
LBN Legal business name Lark, Russell Ellis
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date May 29th, 2008
Last updated May 29th, 2008 - about 16 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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