Individual
DR. LARISA VIKTOROVNA RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4600 HIGHWAY 280, BIRMINGHAM, AL 35242-5028
(205) 408-1231
(205) 408-1229
Mailing address
4600 HIGHWAY 280 STE 100, BIRMINGHAM, AL 35242-5185
(205) 408-1231
(205) 408-1229
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
057050
GA
207Q00000X
Family Medicine Physician
Primary
26797
AL
Other
Enumeration date
09/22/2005
Last updated
08/16/2023
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