Individual provider · Type 1 NPI

Lori Russell, P.A.

Medical Physician Assistant · Tullahoma, TN

NPI number 1891798377 Active

About NPI 1891798377

Lori Russell, P.A.'s National Provider Identifier is 1891798377, issued on May 27, 2005. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Tullahoma, TN. The record was last updated on Jul 6, 2012.