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:
Health care specialties
Specialty | Code | License # | 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 15 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 | 1407853237 | NPPES |
Louisiana | MEDICAID | 1167169 |
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