Individual
MRS. HEATHER LYNN RUSSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
224 W LORAIN ST STE 100, OBERLIN, OH 44074-1087
(440) 775-1881
(440) 744-5707
Mailing address
3520 LONGWOOD DR, MEDINA, OH 44256-8400
(330) 239-0780
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50001980
OH
Other
Enumeration date
12/05/2006
Last updated
03/25/2025
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