Era Russell, HAIRLOSSSPECIALIST
Era Russell, HAIRLOSSSPECIALIST is an Orthotic Fitter in Lagrange, Georgia. Licensed in Georgia. Registered with an NPI since 2016.
- Licensed in
- GA
- In the registry since
- 2016
- Specialties on file
- 2
Practice location Address checks out
2170 W Point Rd Ste 36Lagrange, GA 30240-4007
Phone: (762) 323-7874
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Prosthetist (primary) | Taxonomy 224P00000X · Licence 224P00000X (GA) |
|---|---|
| Orthotic Fitter | Taxonomy 225000000X (GA) |
Record details
| NPI number | 1447604178 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | HAIRLOSSSPECIALIST |
| Sole proprietor | No |
| NPI enumerated | April 19, 2016 |
| Last updated in NPPES | November 1, 2021 |
| Certification date | October 20, 2021 |