Lawrence Russell

NPI 1992041909 · on the registry since 2012 · sole proprietor

Practice

Address: 2000 Aldersgate Rd
Little Rock, AR 72205
Phone: (501) 217-0183
Fax: (501) 325-7938
Organisation at this address: Camp Aldersgate Inc
United Methodist Behavioral Health Systems, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 55

Registry record

Primary taxonomy: 171M00000X
171M00000X
Licence states on file: AR
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2012-12-19

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 Arkansas