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Individual
RUSSELL CHARLES LECIEJEWSKI
Active
Individual
RUSSELL CHARLES LECIEJEWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
141268
NC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
141268
NC
Other
Enumeration date
07/20/2006
Last updated
12/18/2023
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