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

Lawrence Benidict Russell, PA-C

Individual provider Physician Assistant · NPI 1336148147

Lawrence Benidict Russell, PA-C is a Physician Assistant in Fairview, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2005.

Licensed in
PA
In the registry since
2005
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

7287 W Ridge Rd
Fairview, PA 16415-1130
Phone: (814) 877-2360
Fax: (814) 474-3561
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence MA000191L (PA)

Record details

NPI number1336148147
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 14, 2005
Last updated in NPPESApril 16, 2013

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