Individual
LAWRENCE RUSSELL HARRIS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
2674 COLLIS AVE, HUNTINGTON, WV 25702-1317
(304) 360-8771
Mailing address
2674 COLLIS AVE, HUNTINGTON, WV 25702-1317
(304) 360-8771
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
121356
WV
Other
Enumeration date
03/19/2025
Last updated
03/19/2025
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