Russell T Lolley is a Surgery in West Monroe, Louisiana. Russell T Lolley practices all healthcare services and medical treatments related to Surgery. The NPI Number for Russell T Lolley is 1356378590. The last update date is 2023-05-08.
Russell T Lolley's current location address is 102 Thomas Rd., Ste 203, West Monroe, Louisiana. You can contact this provider via phone number 3183871811 and fax number 3183877529. The mailing address for Russell T Lolley is 102 Thomas Rd., Ste 203, West Monroe, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Russell T Lolley |
|---|---|
| Address | 102 Thomas Rd., Ste 203, West Monroe, Louisiana |
| Phone Number | 3183871811 |
| Fax Number | 3183877529 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1356378590 |
|---|---|
| Provider Enumeration Date | 2006-06-26 |
| Last Updated Date | 2023-05-08 |
Provider Mailing Address Detail
| Address | 102 Thomas Rd., Ste 203 |
|---|---|
| City | West Monroe |
| State | Louisiana (LA) |
| Post Code | 712915547 |
| Phone Number | 3183871811 |
| Fax Number | 3183877529 |
Provider's Primary Taxonomy Detail
| Speciality | Surgery |
|---|---|
| Taxonomy | 208600000X |
| Licence No | MD.010612 |
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Definition: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1136361 | LA | -- |
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What is the Russell T Lolley's unique identification number?
The Russell T Lolley has been assigned the NPI (National Provider Identifier) Number 1356378590 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Russell T Lolley's physical address?
The Russell T Lolley is physically located at 102 Thomas Rd., Ste 203, in the city of West Monroe, LA, with the postal code 712915547.
What is Russell T Lolley's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Russell T Lolley is Surgery, and the taxonomy classification code that categorizes this area of expertise is 208600000X.
When was the Russell T Lolley's 1356378590 issued?
The Russell T Lolley's 1356378590 was issued on 2006-06-26.
As of what date were the details pertaining to Russell T Lolley last refreshed?
The information related to the Russell T Lolley, including its address, specialty, and other relevant details, was last updated on 2023-05-08.