Individual
LANIECE ELIZABETH RUSSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPRS
Contact information
Practice address
2442 LAUREL VALLEY DR, AKRON, OH 44313-4616
(330) 775-9472
Mailing address
2442 LAUREL VALLEY DR, AKRON, OH 44313-4616
(330) 775-9472
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
APS.005673
OH
Other
Enumeration date
11/04/2024
Last updated
11/04/2024
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