Individual
LAUREN ELIZABETH LAMBERT RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
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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