Individual
MS. LAURA LYNN RUSSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
525 PEACHTREE INDUSTRIAL BLVD STE D, SUWANEE, GA 30024-4071
(770) 831-7556
(770) 831-7928
Mailing address
525 PEACHTREE INDUSTRIAL BLVD STE D, SUWANEE, GA 30024-4071
(770) 831-7556
(770) 831-7928
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR008176
GA
Other
Enumeration date
05/22/2006
Last updated
02/12/2021
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