Individual
DR. RUSSELL SHANNON LIEURANCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
320 E NORTH AVE, PITTSBURGH, PA 15212-4756
(412) 359-4905
Mailing address
320 E NORTH AVE, PITTSBURGH, PA 15212-4756
(412) 359-4905
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MT202575
PA
Other
Enumeration date
07/05/2012
Last updated
07/05/2012
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