Individual
DR. LAKEYA CHARRON RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
110 PROFESSIONAL PARK, OXFORD, NC 27565-2576
(919) 693-6541
(919) 693-7396
Mailing address
PO BOX 986, OXFORD, NC 27565-0986
(919) 690-3487
(919) 690-3213
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
4301096713
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0107622
—
OH
Enumeration date
06/19/2012
Last updated
08/03/2021
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