Russell, Lashonda
Russell, Lashonda is an individual health care provider with primary practice located at 2002 S Fillmore St , Little Rock AR 72204-4909. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Russell, Lashonda can be contacted via phone (501) 906-4928.Contact Information
Primary practice address
2002 S Fillmore St
Little Rock AR 72204-4909
Phone: (501) 906-4928
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | A2302009 | Arkansas |
Profile Details
| NPI number | 1023537529 |
|---|---|
| LBN Legal business name | Russell, Lashonda |
| Credentials | Licensed Acupuncturist (LAC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 15th, 2017 |
| Last updated | Jul 13th, 2023 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023537529 | NPPES |
| Arkansas | MEDICAID | 227343795 |
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