Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LISA EVEALINE RUSSELL, HAB SPEC
Active Sole ProprietorDay Training/Habilitation · MAXWELTON, WV
Registration Details
- NPI Number
- 1821614371
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 21, 2020 (5.8516007085485 yrs)
- Last Updated
- Jun 21, 2020
- Sole Proprietor
- Yes
Practice Information
- Address
-
804 INDUSTRIAL PARK RDMAXWELTON, WV, 249578066Browse WV providers · Browse ZIP 24957
- Phone
- 3044970500
- Primary Specialty
-
Day Training/Habilitation
373H00000X
Other Day Training/Habilitation Providers in MAXWELTON, WV
| Name | Credential | NPI |
|---|---|---|
| JERRALD WAYNE BARKER | — | 1467078626 |
| LAUREN THOMAS | — | 1295351351 |
| GEORGE TIMOTHY SHEPPARD | — | 1639795784 |
| PATRICIA BOSTIC | — | 1356967392 |
| CHRISTINA SIMS | — | 1306462346 |
| TAMMY LYNN COATS | — | 1619593704 |
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.