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NPI Code Detail

MEDICARE: LAUREN ELIZABETH LAMBERT RUSSELL OTR/L

MEDICARE:   LAUREN ELIZABETH LAMBERT RUSSELL  OTR/L
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist4713AL

Other Identifiers

General Provider Information

NPI Number : 1194214247
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAUREN ELIZABETH LAMBERT RUSSELL OTR/L
Provider Business Mailing Address
First Line : 10133 SHERRILL BLVD STE 200
Second Line :
City : KNOXVILLE
State : TN
Zip : 37932-3347
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 12000 TURNMEYER DR SE
Second Line :
City : HUNTSVILLE
State : AL
Zip : 35803-3358
Country : US
Telephone Number : 256-883-0165
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/04/2018
Last Update Date : 05/04/2018

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Directions to “ LAUREN ELIZABETH LAMBERT RUSSELL OTR/L” Practice Location

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