Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Russell T Lolley Jr., MD

Individual provider Specialist · NPI 1356378590

Dr. Russell T Lolley Jr., MD is a General Surgery in West Monroe, Louisiana. Graduated from Louisiana State University School of Medicine in New Orleans in 1967, 59 years ago. Practices with LSU Health Sciences Center Shreveport Faculty Group Practice, a 569-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Louisiana.

Years since qualifying
59
Trained at
Louisiana State University School of Medicine in New Orleans
Licensed in
LA
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

102 Thomas Rd Ste 201
West Monroe, LA 71291-5547
Phone: (318) 329-8411
Fax: (318) 329-8412
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4864 Jackson St, Monroe, LA 71202-6400 — (318) 330-7000

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence MD.010612 (LA)
Specialist Taxonomy 174400000X · Licence 010612 (LA)

Record details

NPI number1356378590
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 26, 2006
Last updated in NPPESMay 8, 2023
Certification dateMay 8, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolLOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS
Graduated 1967 (59 years in practice)
Group practice Lsu Health Sciences Center Shreveport Faculty Group Practice — 569 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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