SearchTennessee225700000X

Lester Russell

NPI 1598176745 · on the registry since 2014 · sole proprietor

Practice

Address
10111 Cameron Ridge Trl
Cordova, TN 38016
Phone
(901) 679-5366
Organisation at this address
Omni Medical Transport Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
225700000X
225700000X
Also registered as
146L00000X
Licence states on file
TN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-03-24

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