Russell, Lawrence I

Russell, Lawrence I is an individual health care provider with primary practice located at 4212 West Congress Street Suite 1401, Lafayette LA 70506. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Russell, Lawrence I can be contacted via phone (337) 981-8131.

Contact Information

Primary practice address
4212 West Congress Street Suite 1401 Lafayette LA 70506
Phone: (337) 981-8131
Fax: (337) 989-1316
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 014024 Louisiana

Profile Details

NPI number 1407853237
LBN Legal business name Russell, Lawrence I
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2005
Last updated Mar 25th, 2010 - about 14 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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Identifiers

StateTypeNumberIssuer
All States NPI 1407853237 NPPES
Louisiana MEDICAID 1167169

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