LORI YOUNGER RUSSELL CERT. HAIR LOSS SPEC
NPI 1629512835
Specialist - Prosthetics Case Management in Springfield, VA
- Individual
- Female
- Specialist
- Prosthetics Case Management
About LORI RUSSELL
This page provides the complete NPI Profile along with additional information for Lori Russell, a provider established in Springfield, Virginia with a medical specialization in Specialist, focusing in prosthetics case management . The healthcare provider is registered in the NPI registry with number 1629512835 assigned on December 2016. The practitioner's primary taxonomy code is 1744P3200X with license number 1204018222 (VA). The provider is registered as an individual and her NPI record was last updated 3 years ago.
- NPI
- 1629512835 Verify this NPI
- Provider Name
- LORI YOUNGER RUSSELL CERT. HAIR LOSS SPEC
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 6133 BACKLICK RD SPRINGFIELD, VA 22150
- Location Phone
- (571) 230-6302
- Mailing Address
- 1803 HYDEN PL WOODBRIDGE, VA 22191
- Mailing Phone
- (571) 230-6302
- Is Sole Proprietor?
- No
- Enumeration Date
- 12-06-2016
- Last Update Date
- 06-05-2023
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Specialist Prosthetics Case Management
- Taxonomy Code
- 1744P3200X
- Type
- Other Service Providers
- License No.
- 1204018222
- License State
- VA
- Taxonomy Description
- Under the Other Service Providers; Specialist the Prosthetics Case Management definition changed to: A case manager who provides services for patients with prosthetics.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1629512835, enumerated as an "individual" on December 06, 2016.
The provider is located at 6133 BACKLICK RD SPRINGFIELD, VA 22150 and the phone number is (571) 230-6302.
Specialist with taxonomy code 1744P3200X and a focus in Prosthetics Case Management.
