Individual provider · Type 1 NPI
Laura Lynn Russo, DC
Chiropractor · Suwanee, GA
NPI number
1124072038
Active
Practice location
525 Peachtree Industrial Blvd Ste D
Suwanee, GA 30024-4071
Fax (770) 831-7928
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | CHIR008176 (GA) |
Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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About NPI 1124072038
Laura Lynn Russo, DC's National Provider Identifier is 1124072038, issued on May 22, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Suwanee, GA. The record was last updated on Feb 12, 2021.