Individual
CLAIRE CATHERINE RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
202 W CENTER ST, LEXINGTON, NC 27292-3012
(336) 248-2237
Mailing address
994 W 2ND ST UNIT 384, WINSTON SALEM, NC 27101-3899
(704) 689-7209
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2708
NC
Other
Enumeration date
09/12/2022
Last updated
09/12/2022
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