Individual provider · Type 1 NPI
Jeremy Lawrence Russell, PA-C
Surgical Physician Assistant · Hammond, LA
NPI number
1639808306
Active
Practice location
15790 Paul Vega Md Dr
Hammond, LA 70403-1436
Fax (985) 230-6653
Mailing address
PO Box 1389
Albany, LA 70711-1389
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant | 363A00000X | 1196694 (LA) |
| Surgical Physician Assistant Primary | 363AS0400X | 332993 (LA) |
Surgical Physician Assistant: Definition to come...
177 other providers at this address
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- North Oaks Anesthesiology Associates LLCAnesthesiology Physician Hammond, LA NPI 1649479676
- North Oaks Medical Center, LLCCommunity Based Hospice Care Agency Hammond, LA NPI 1053397877
- North Oaks Medical Center, LLCRural Acute Care Hospital Hammond, LA NPI 1144227539
- North Oaks Medical Center, LLCDiagnostic Radiology Physician Hammond, LA NPI 1164785648
- North Oaks Medical Center, LLCGeneral Acute Care Hospital Hammond, LA NPI 1467695379
- North Oaks Medical Center, LLCClinical Medical Laboratory Hammond, LA NPI 1619303773
- North Oaks Medical Center, LLCGeneral Acute Care Hospital Hammond, LA NPI 1780868612
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About NPI 1639808306
Jeremy Lawrence Russell, PA-C's National Provider Identifier is 1639808306, issued on Jun 8, 2022. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Hammond, LA. The record was last updated on Jun 8, 2023.