DR. RUSSELL T LOLLEY JR. (NPI# 1356378590) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356378590 |
| Entity Type | Individual |
| Full Name | DR. RUSSELL T LOLLEY JR. |
| Credential | M.D. |
| Practice Address |
102 Thomas Rd., Ste 201 West Monroe LA 71291-5547 |
| Mailing Address |
102 Thomas Rd., Ste 203 West Monroe LA 71291-5547 |
| Practice Telephone | 3183298411 |
| Practice Fax Number | 3183298412 |
| Mailing Telephone | (318) 387-1811 |
| Mailing Fax Number | 3183877529 |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2017-08-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 010612 | LA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1136361 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174159016 | Russell James Lolley | Student in an Organized Health Care Education/Training Program | 2401 S 31st Street, Ms-11-ag062, Temple, TX 76508-0001 | 2020-03-22 |
| Street Address |
102 THOMAS RD., STE 201 |
| City | WEST MONROE |
| State | LA |
| Zip Code | 71291-5547 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518515279 | Bayou Belle Wellness | Chiropractor | 108 Zephyr St, West Monroe, LA 71291 | 2019-08-27 |
| 1710546593 | Stroolamb, LLC | Technician | 201 Trenton Street, Suite 1, West Monroe, LA 71291 | 2019-06-06 |
| 1588190714 | Varnado Delmore | Case Manager/Care Coordinator | 100 Patton Dr., West Monroe, LA 71291 | 2017-05-09 |
| 1518419373 | Kristana Haynes | Counselor | 241 Blanchard Street, Apt #3202, West Monroe, LA 71291 | 2016-10-27 |
| 1295190841 | Charles A Hudson | Counselor | 307 North 6th, West Monroe, LA 71291 | 2015-12-28 |
| 1790157329 | Catherine Yearby | Counselor | 1912 N 7th St, Apt 137, West Monroe, LA 71291 | 2015-10-22 |
| 1447628235 | Julia Wroten Terral | Dental Hygienist | 5454 Cypress St., West Monroe, LA 71291 | 2015-09-10 |
| 1528474954 | Nastosha Allen Griffin | Student in an Organized Health Care Education/Training Program | 2500 N. 7th Street #500, West Monroe, LA 71291 | 2014-07-07 |
| 1891109351 | Russell Roark | Pharmacist | 5251 Cypress Street, West Monroe, LA 71291 | 2014-06-12 |
| 1013328996 | The Foot and Ankle Clinic of West Monroe, LLC | Podiatrist | 2269 Arkansas Road, West Monroe, LA 71291 | 2014-05-14 |
| Find all providers in zip 71291 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063952612 | Bethany Lyn Penrod | Specialist | 40 Woody Dr, West Monroe, NY 13167-4184 | 2017-03-01 |
| 1528478930 | Jimmy Aaron Crosby | Specialist | 5324 Cypress St, Suite B, West Monroe, LA 71291-7694 | 2014-05-07 |
| 1629376736 | Jerald Louis Ketchens | Specialist | 716 N 7th St, West Monroe, LA 71291-4212 | 2011-03-14 |
| 1881866044 | Ann B Tubre, Lotr | Specialist | 226 Caldwell Rd, West Monroe, LA 71291-1627 | 2008-03-27 |
| 1629248455 | Mwbot LLC | Specialist | 103 Roberta Dr, West Monroe, LA 71291-2125 | 2008-03-07 |
| 1821271917 | William H Matthews, Md, LLC | Specialist | 102 Thomas Rd Ste 104, West Monroe, LA 71291-7365 | 2007-12-11 |
| 1770673568 | Clarence Dunn | Specialist | 302 Mcmillan Rd, West Monroe, LA 71291-5324 | 2006-10-13 |
| 1871501338 | Samer Noel Roy | Specialist | 102,thomas Road, Suit 504, West Monroe, LA 71291 | 2006-08-03 |
| 1700806767 | Alyce R. Adams | Specialist | 3106 Cypress St, West Monroe, LA 71291-5203 | 2006-07-20 |
| 1679536247 | Padgett Brooks Inc | Specialist | 2409 Arkansas Rd., West Monroe, LA 71291 | 2006-04-06 |
| Find all providers in WEST MONROE | ||||
| City | WEST MONROE |
| Zip Code | 71291 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.