Russell, Lori

Russell, Lori is an individual health care provider with primary practice located at 90 Jackson Pike , Gallipolis OH 45631-1560. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Russell, Lori can be contacted via phone (740) 446-5238.

Contact Information

Primary practice address
90 Jackson Pike Gallipolis OH 45631-1560
Phone: (740) 446-5238
Fax: (740) 441-8058
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 212017 Ohio

Profile Details

NPI number 1407877111
LBN Legal business name Russell, Lori
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2006
Last updated Oct 24th, 2011 - 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1407877111 NPPES
Other 000000006923 ANTHEM BCBS
Other 430021976 ANTHEM BCBS
Other 0973264 ANTHEM BCBS
Other 1407877111 ANTHEM BCBS
MEDICAID 0973264 ANTHEM BCBS
MEDICAID 0067463000 ANTHEM BCBS

Popular Providers