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Organization
LAURA A RUSSELL MD INC
Active
Organization
LAURA A RUSSELL MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAURA A RUSSELL MD (PRESIDENT)
(714) 347-1010
Entity
Organization
Contact information
Practice address
1050 LINDEN AVE, LONG BEACH, CA 90813-3321
(562) 491-9000
Mailing address
210 N TUSTIN AVE, SANTA ANA, CA 92705-3807
(714) 347-1010
(714) 647-1245
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
G61396
CA
Other
Enumeration date
12/02/2013
Last updated
12/02/2013
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