Lori A Russell (NPI# 1891798377, PAC ID# 4385693134) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1891798377 |
| PAC ID by PECOS | 4385693134 |
| Professional Enrollment ID | I20050119000315 |
| Full Name | Lori A Russell |
| Address |
40 Lynchburg Hwy Lynchburg TN 37352-7449 |
| Gender | F |
| Credential | PA |
| Graduation Year | 2004 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440144 | TENNOVA HEALTHCARE-HARTON |
| 440102 | LINCOLN MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 40 Lynchburg Hwy, Lynchburg, TN 37352-7449 | ||
| 100 William Northern Blvd, Tullahoma, TN 37388-4754 | 9314540489 | FAMILY PRACTICE CENTER OF TULLAHOMA LLC |
| Street Address |
40 LYNCHBURG HWY |
| City | LYNCHBURG |
| State | TN |
| Zip | 37352-7449 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert Yasui | Physician Assistant | 40 Lynchburg Hwy, Lynchburg, TN 37352-7449 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Deadra R Tucker | Nurse Practitioner | Amg - Southern Tennessee, LLC | 491 Majors Blvd, Lynchburg, TN 37352-8344 |
| Melissa Smedley | Nurse Practitioner | Amg - Southern Tennessee, LLC | 491 Majors Blvd, Lynchburg, TN 37352-8344 |
| Rachel A Anderson | Nurse Practitioner | 13 Hiles St, Suite 8039, Lynchburg, TN 37352-8381 |
| City | LYNCHBURG |
| Zip Code | 37352 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | LYNCHBURG + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Lori A Russell.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.