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

Mr. Gary Allen Russell Jr.

Individual provider Case Manager/Care Coordinator · NPI 1811478498

Mr. Gary Allen Russell Jr. is a Case Manager/Care Coordinator in Lafayette, Colorado. Practices as a sole proprietor. Registered with an NPI since 2018.

In the registry since
2018
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Practice location Address checks out

1455 Dixon Ave
Lafayette, CO 80026-8879
Phone: (720) 406-3604
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X

Record details

NPI number1811478498
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedAugust 22, 2018
Last updated in NPPESDecember 30, 2024
Certification dateDecember 30, 2024

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