Individual
MS. SUSAN KAY RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
913 W HOLMES RD STE 189, LANSING, MI 48910-0434
(517) 272-4357
(517) 272-4358
Mailing address
913 W HOLMES RD STE 189, LANSING, MI 48910-0434
(517) 272-4357
(517) 272-4358
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703043851
MI
Other
Enumeration date
10/16/2012
Last updated
10/16/2012
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