Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. LISA MARIE RUSSELL, D.M.D.
Active Sole ProprietorDR. LISA MARIE RUSSELL, D.M.D. is a Orthodontics healthcare provider located in HANNIBAL, Missouri. NPI 1700150976 is currently active in the NPPES registry. Verify at CMS.
Orthodontics · HANNIBAL, MO
Registration Details
- NPI Number
- 1700150976
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 5, 2012 (14.472169244925 yrs)
- Last Updated
- Mar 5, 2012
- License
-
2011028140 (MO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
655 CLINIC RDSUITE 110HANNIBAL, MO, 634013647Browse MO providers · Browse ZIP 63401
- Phone
- 5732210001
- Primary Specialty
-
Orthodontics
1223X0400X
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.