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Individual

LAUREN ELIZABETH LAMBERT RUSSELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
12000 TURNMEYER DR SE, HUNTSVILLE, AL 35803-3358
(256) 883-0165
Mailing address
10133 SHERRILL BLVD STE 200, KNOXVILLE, TN 37932-3347

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4713
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1992782973
AL
05
63-1169107
AL
Enumeration date
05/04/2018
Last updated
05/04/2018
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