Lori Russell, PA
Lori Russell, PA is a Physician Assistant in Tullahoma, Tennessee. Qualified in 2004, 22 years ago. Accepts Medicare assignment. Licensed in Tennessee.
- Years since qualifying
- 22
- Licensed in
- TN
- In the registry since
- 2005
What do these letters mean?
- PA — Physician Assistant
- A licensed clinician who examines, diagnoses and treats under a physician's supervision.
Practice location Address checks out
100 Hunters Ln Ste 100Tullahoma, TN 37388-8263
Phone: (931) 455-4616
Fax: (931) 455-2362
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Medical Physician Assistant (primary) | Taxonomy 363AM0700X · Licence 1198 (TN) |
|---|
Record details
| NPI number | 1891798377 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PA |
| Sole proprietor | No |
| NPI enumerated | May 27, 2005 |
| Last updated in NPPES | July 6, 2012 |
| Mailing address | 100 Hunters Ln, Suite 100, Tullahoma, TN 37388-8263 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2004 (22 years in practice) |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Tullahoma
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Aubrey Martin Cawthon Jr., PAC
507 NW Atlantic St, Tullahoma, TN 37388-3504 · (931) 393-4332
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Mr. Michael Frederick Johnson, PA-C
1802 N Jackson St, Tullahoma, TN 37388-8218 · (931) 455-4529
-
Miss. Alexandra Hayden Revlett, PA-C
1801 N Jackson St, Tullahoma, TN 37388-8259 · (931) 393-3000