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LORI M RUSSO LPN
NPI 1720105174
Licensed Practical Nurse in Collegeville, PA

Active since March 23, 2007
4305 GYPSY LN, COLLEGEVILLE, PA 19426(484) 686-4464(267) 354-6899 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lori M Russo Lpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LORI M RUSSO LPN (NPI 1720105174) is an individual licensed practical nurse in Collegeville, Pennsylvania, licensed in Pennsylvania (PN103488L) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1720105174
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameLORI M RUSSOCredential: LPN
Location Address4305 GYPSY LNCollegeville, PA 19426-1165
Mailing Address4305 Gypsy LnCollegeville, PA 19426-1165 · (484) 686-4464 · Fax (267) 354-6899
Phone(484) 686-4464
Fax(267) 354-6899
Sole ProprietorNo
Enumeration DateMarch 23, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1720105174 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in PA · PN103488L
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
4305 GYPSY LN, Collegeville, PA 19426
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. VINCE R RUSSO LPN
Licensed Practical Nurse
4305 GYPSY LN
COLLEGEVILLE, PA 19426
Montgomery County (484) 902-8223

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lori Russo's NPI number?

The NPI number for Lori Russo is 1720105174. It was assigned to this individual provider in the NPPES registry on March 23, 2007.

Where is Lori Russo located?

Lori Russo practices at 4305 Gypsy Ln, Collegeville, PA 19426. The listed phone number is (484) 686-4464.

What is Lori Russo's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Lori Russo was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.