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Individual

LAUREN ELIZABETH LAMBERT RUSSELL

Active
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Individual

LAUREN ELIZABETH LAMBERT RUSSELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4713
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1992782973
—
AL
05
—
63-1169107
—
AL
Enumeration date
05/04/2018
Last updated
05/04/2018
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