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

Glen Kenneth Russell, LVN

Individual provider Licensed Vocational Nurse · NPI 1780973172

Glen Kenneth Russell, LVN is a Licensed Vocational Nurse in Los Angeles, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2011
What do these letters mean?
LVN — Licensed Vocational Nurse
The same role as an LPN; the title used in California and Texas.

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Practice location Address checks out

422 S.mariposa 202
Los Angeles, CA 90020
Phone: (213) 531-6325
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Vocational Nurse (primary) Taxonomy 164X00000X · Licence VN221980 (CA)

Record details

NPI number1780973172
Entity typeIndividual (Type 1)
GenderMale
Credentials LVN
Sole proprietorYes
NPI enumeratedApril 6, 2011
Last updated in NPPESApril 6, 2011

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