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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LORI RUSSELL, P.A.

Active

LORI RUSSELL, P.A. is a Medical Physician Assistant healthcare provider located in TULLAHOMA, Tennessee. NPI 1891798377 is currently active in the NPPES registry. Verify at CMS.

Medical Physician Assistant · TULLAHOMA, TN

Registration Details

NPI Number
1891798377
Provider Type
Individual
Gender
Female
NPI Issued
May 27, 2005 (21.178210400888 yrs)
Last Updated
Jul 6, 2012
License
1198 (TN)

Practice Information

Address
100 HUNTERS LN
SUITE 100
TULLAHOMA, TN, 373888263
Browse TN providers · Browse ZIP 37388
Phone
9314554616
Fax
9314552362
Primary Specialty
Medical Physician Assistant
363AM0700X

Other Medical Physician Assistant Providers in TULLAHOMA, TN

Name Credential NPI
AUBREY MARTIN CAWTHON JR. PAC 1407824295
MR. MICHAEL FREDERICK JOHNSON P.A.-C 1679738272
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.