Individual
DR. LORI LEIGH RUSSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
4000 E US HIGHWAY 377, GRANBURY, TX 76049-7432
(817) 573-7153
(817) 573-5640
Mailing address
4000 E US HIGHWAY 377, GRANBURY, TX 76049-7432
(817) 573-7153
(817) 573-5640
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
6416TG
TX
Other
Enumeration date
10/04/2006
Last updated
03/02/2026
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