Individual
LORI A. DAVIS RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
17055 FRANCES ST STE 103, OMAHA, NE 68130-4655
(402) 280-2200
(402) 280-2210
Mailing address
17055 FRANCES ST STE 103, OMAHA, NE 68130-4655
(402) 280-2200
(402) 280-2210
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
785
NE
Other
Enumeration date
10/06/2014
Last updated
03/26/2019
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