Search › Missouri › 1223X0400X
Lisa Russell, D.M.D
NPI 1700150976 · on the registry since 2012 · sole proprietor
Practice
- Address
- 655 Clinic Rd
Suite 110
Hannibal, MO 63401 - Phone
- (573) 221-0001
- Organisation at this address
- Brent C Smola, Pc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 1223X0400X
1223X0400X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2012-03-05
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 Missouri