Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LAWRENCE BENIDICT RUSSELL, PA-C
ActiveLAWRENCE BENIDICT RUSSELL, PA-C is a Physician Assistant healthcare provider located in FAIRVIEW, Pennsylvania. NPI 1336148147 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · FAIRVIEW, PA
Registration Details
- NPI Number
- 1336148147
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 14, 2005 (21.076664613839 yrs)
- Last Updated
- Apr 16, 2013
- License
-
MA000191L (PA)
Practice Information
- Address
-
7287 W RIDGE RDFAIRVIEW, PA, 164151130Browse PA providers · Browse ZIP 16415
- Phone
- 8148772360
- Fax
- 8144743561
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in FAIRVIEW, PA
| Name | Credential | NPI |
|---|---|---|
| CAROLINE ANNE STRAIT | PHYSICIAN ASSISTANT | 1295087815 |
| KATHRYN LYN SCULLY | PA-C | 1861090359 |
| MEGAN SUSANNE SNYDER | PA-C | 1558033860 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.