LORA A RUSSELL APRN NPI 1114571429

NPI Information

  • NPI: 1114571429
  • Provider Name: LORA A RUSSELL, APRN
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 419 N SEMINARY ST
    MADISONVILLE, KY
    ZIP 42431
  • Phone: (731) 394-1145

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NPI Details

Lora A Russell, APRN is a family nurse practitioner in Madisonville, KY. Lora A Russell, APRN NPI is 1114571429. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

419 N SEMINARY ST
MADISONVILLE, KY
ZIP 42431-515
Phone: (731) 394-1145
Fax: (844) 374-0233

The NPI 1114571429 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/25/2019 and was last updated on 7/25/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily3012804KENTUCKYYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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