Search › Tennessee › Medical Physician Assistant

Lori Russell, P.A

NPI 1891798377 · on the registry since 2005

Practice

Address: 100 Hunters Ln
Suite 100
Tullahoma, TN 37388
Phone: (931) 455-4616
Fax: (931) 455-2362
Organisation at this address: Agilitas Usa,Inc
Amg - Southern Tennessee, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 10

Registry record

Primary taxonomy: Medical Physician Assistant
363AM0700X
Licence states on file: TN
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2012-07-06

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