LORI M RUSSO (NPI# 1720105174) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720105174 |
| Entity Type | Individual |
| Full Name | LORI M RUSSO |
| Credential | LPN |
| Practice Address |
4305 Gypsy Ln Collegeville PA 19426-1165 |
| Practice Telephone | 4846864464 |
| Practice Fax Number | 2673546899 |
| Mailing Telephone | 4846864464 |
| Mailing Fax Number | 2673546899 |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | PN103488L | PA | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497190300 | Lori Pamela Elise Russo | Anesthesiology | 75 Francis St, Boston, MA 02115-6110 | 2013-05-06 |
| 1013151067 | Lori Russo | Behavioral Analyst | 6301 Campus Circle Dr E, Suite 100a, Irving, TX 75063-2712 | 2009-04-21 |
| 1558547489 | Lori Lynn Russo | Occupational Therapist | W143n5009 Brook Falls Dr, Menomonee Falls, WI 53051-6987 | 2008-01-09 |
| 1700971637 | Lori Leigh Russo | Optometrist | 7201 Boat Club Rd, Fort Worth, TX 76179-4555 | 2006-10-04 |
| Street Address |
4305 GYPSY LN |
| City | COLLEGEVILLE |
| State | PA |
| Zip Code | 19426-1165 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811014269 | Vince R Russo | Licensed Practical Nurse | 4305 Gypsy Ln, Collegeville, PA 19426-1165 | 2007-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063057040 | Oswaldo Giovanni Tagle Manrique | Physician Assistant | 1200 Mokychic Road, Collegeville, PA 19426 | 2019-11-13 |
| 1639722507 | Child & Family Focus Inc | Community/Behavioral Health | 121 Wartman Road, Perkiomen Township, PA 19426 | 2019-07-19 |
| 1487116299 | Joshua Heinsheimer | Dentist | 241-3 Plaza Drive, Collegeville, PA 19426 | 2019-04-01 |
| 1093284101 | Courtney Cione | Nurse Practitioner | 1200 Mokychic Rd., Collegeville, PA 19426 | 2018-11-19 |
| 1538645007 | Linda Kathleen Muller | Registered Nurse | 369 Avon Ave, Collegeville, PA 19426 | 2018-07-17 |
| 1215445333 | Mary Catherine Campetti | Nurse Practitioner | 555 Second Ave Ste C-850, Collegeville, PA 19426 | 2018-01-11 |
| 1831606292 | Kevin Titze | Counselor | 3819 Germantown Pike Ste B, Collegeville, PA 19426 | 2018-01-08 |
| 1942727441 | Naomi Avoline Kim | Counselor | 555 2nd Ave, Building B, Suite 101, Collegeville, PA 19426 | 2017-08-24 |
| 1376086348 | Kelly Robin Durante | Nurse Practitioner | 433 Komen Ct., Collegeville, PA 19426 | 2016-11-23 |
| 1558817262 | Joseph Kosto | Pharmacist | 1219 Taylor Way, Collegeville, PA 19426 | 2016-09-01 |
| Find all providers in zip 19426 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811014269 | Vince R Russo | Licensed Practical Nurse | 4305 Gypsy Ln, Collegeville, PA 19426-1165 | 2007-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770184723 | Mercedes Campbell | Licensed Practical Nurse | 255 E Lincoln Hwy, Penndel, PA 19047-4023 | 2020-11-05 |
| 1689272015 | Rosalia Martin | Licensed Practical Nurse | 1320 Matthew Dr, York, PA 17404-8605 | 2020-10-16 |
| 1730796335 | Stephanie Bellande | Licensed Practical Nurse | 2919 Birney Ave, Scranton, PA 18505-3131 | 2020-09-28 |
| 1740897818 | Ronald J Potocki Jr. | Licensed Practical Nurse | 8771 Findley Lake Rd, North East, PA 16428-4273 | 2020-09-23 |
| 1659987907 | Khatifa Bundy | Licensed Practical Nurse | 2327 W Hagert St, Philadelphia, PA 19132-4246 | 2020-09-22 |
| 1457967903 | Assanatu Monorma Bah | Licensed Practical Nurse | 800 Cottman Ave Apt 428, Philadelphia, PA 19111-3072 | 2020-09-21 |
| 1376159988 | Sierra Alexis Gadson | Licensed Practical Nurse | 2151 Knorr St, Philadelphia, PA 19149-2307 | 2020-09-18 |
| 1306451752 | Catherine L. Bredel | Licensed Practical Nurse | 1853 Brett St Apt 16, Pittsburgh, PA 15205-4015 | 2020-09-12 |
| 1134733215 | Erin Marie Mosser | Licensed Practical Nurse | 1 Eisenhower Drive, Student Health Services, University Park, PA 16802 | 2020-09-04 |
| 1346853090 | Marcia Tina Bristol | Licensed Practical Nurse | 1030 Elmwood Ave, Sharon Hill, PA 19079-1606 | 2020-08-24 |
| Find all providers with the same taxonomy | ||||
| City | COLLEGEVILLE |
| Zip Code | 19426 |
Please comment or provide details below to improve the information on LORI M RUSSO.
| 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.