Lori M Russo in Collegeville - Licensed Practical Nurse
Lori M Russo - NPI 1720105174
Lori M Russo is a Licensed Practical Nurse in Collegeville, Pennsylvania. Lori M Russo practices all healthcare services and medical treatments related to Licensed Practical Nurse. The NPI Number for Lori M Russo is 1720105174. The last update date is 2007-07-08.
Lori M Russo's current location address is 4305 Gypsy Ln, Collegeville, Pennsylvania. You can contact this provider via phone number 4846864464 and fax number 2673546899. The mailing address for Lori M Russo is 4305 Gypsy Ln, Collegeville, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lori M Russo |
|---|---|
| Address | 4305 Gypsy Ln, Collegeville, Pennsylvania |
| Phone Number | 4846864464 |
| Fax Number | 2673546899 |
| Sole Proprietor | N |
| Credentials | LPN |
NPI Number Detail
| NPI Number | 1720105174 |
|---|---|
| Provider Enumeration Date | 2007-03-23 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 4305 Gypsy Ln |
|---|---|
| City | Collegeville |
| State | Pennsylvania (PA) |
| Post Code | 194261165 |
| Phone Number | 4846864464 |
| Fax Number | 2673546899 |
Provider's Primary Taxonomy Detail
| Speciality | Licensed Practical Nurse |
|---|---|
| Taxonomy | 164W00000X |
| Licence No | PN103488L |
|
Definition: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job r |
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What is the Lori M Russo's 1720105174?
The Lori M Russo's NPI (National Provider Identifier) Number is 1720105174. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Lori M Russo's facilities are situated?
The facilities of Lori M Russo are physically located at the following address: 4305 Gypsy Ln, Collegeville, PA, 194261165.
What is the Lori M Russo's area of specialization and corresponding taxonomy classification?
The Lori M Russo's specialty field is Licensed Practical Nurse, and it falls under the taxonomy code 164W00000X, which categorizes healthcare providers based on their specialties.
On what date was the 1720105174 assigned to Lori M Russo?
The Lori M Russo was issued its 1720105174 on 2007-03-23, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Lori M Russo most recently updated or revised?
The details related to Lori M Russo, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
NPI Number: 1982607784
Address: 54045 Ridge Rd, Yucca Valley, CA