Individual
LAUREN RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7501 BELINDER AVE, PRAIRIE VILLAGE, KS 66208-3659
(913) 787-3275
Mailing address
7501 BELINDER AVE, PRAIRIE VILLAGE, KS 66208-3659
(913) 787-3275
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/22/2011
Last updated
07/22/2011
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