Individual
LISA J RUSSOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
1740 E 17TH ST, IDAHO FALLS, ID 83404-6375
(208) 313-8355
Mailing address
1740 E 17TH ST, IDAHO FALLS, ID 83404-6375
(208) 313-8355
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LSW-2573
ID
Other
Enumeration date
04/15/2011
Last updated
04/15/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
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