Lord, Russell Donovan

Lord, Russell Donovan is an sole proprietor health care provider with primary practice located at 449 W 23Rd St , Panama City FL 32405-4507. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as his primary health care specialty. Lord, Russell Donovan can be contacted via phone (850) 814-7980.

Contact Information

Primary practice address
449 W 23Rd St Panama City FL 32405-4507
Phone: (850) 814-7980
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X MA-11342 Florida

Profile Details

NPI number 1861615650
LBN Legal business name Lord, Russell Donovan
Credentials L.M.T.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 10th, 2007
Last updated Jul 8th, 2007 - about 17 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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