Individual provider · Type 1 NPI

Lauren H. Russell, PA-C

Medical Physician Assistant · Smyrna, GA

NPI number 1023633799 Active

Practice location

3903 S Cobb Dr SE Ste 200
Smyrna, GA 30080-6301

Call (770) 435-3214 Map

Other practice locations

  • 12614 Sandburg Ln, Knoxville, TN 37922-6725 · (478) 955-8316

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X9747 (GA)
Physician Assistant 363A00000X9747 (GA)

Medical Physician Assistant: Definition to come...

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About NPI 1023633799

Lauren H. Russell, PA-C's National Provider Identifier is 1023633799, issued on Jun 9, 2020. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Smyrna, GA. The record was last updated on Jun 12, 2020.