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Russell Lawrence, PA-C
NPI 1356438394 · on the registry since 2006
Practice
- Address
- Veterans Affairs Medical Center
Lamont And Sydney Streets
Mountain Home, TN 37684 - Phone
- (423) 926-1171
- Fax
- (423) 979-3518
Registry record
- Primary taxonomy
- Physician Assistant
363A00000X
- Licence states on file
- TN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Tennessee