Individual
DR. DENNIS AHLERT RUSSO JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC.
Contact information
Practice address
4417 LORINO ST STE 104, METAIRIE, LA 70006-6800
(504) 407-0896
(504) 582-9710
Mailing address
4417 LORINO ST STE 104, METAIRIE, LA 70006-6800
(504) 407-0896
(504) 582-9710
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1421
LA
Other
Enumeration date
11/13/2006
Last updated
12/07/2020
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