Individual
LAUREN RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3301 MATLOCK RD, ARLINGTON, TX 76015-2908
(682) 509-6200
Mailing address
732 CREEKVIEW DR, BURLESON, TX 76028-4446
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1041082
TX
Other
Enumeration date
12/18/2025
Last updated
12/18/2025
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