Individual
LUCILLE JOYCE RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1440 PHEASANT RUN CIR, YARDLEY, PA 19067-3921
(215) 579-2163
(215) 579-2503
Mailing address
1440 PHEASANT RUN CIR, YARDLEY, PA 19067-3921
(215) 579-2163
(215) 579-2503
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
036067024
IL
Other
Enumeration date
03/09/2010
Last updated
03/09/2010
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