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

Mr. Russell Joseph Lacelle II, LVT, CORPORAL

Individual provider Case Manager/Care Coordinator · NPI 1407537442

Mr. Russell Joseph Lacelle II, LVT, CORPORAL is a Case Manager/Care Coordinator in Clinton Township, Michigan. Practices as a sole proprietor. Registered with an NPI since 2023.

In the registry since
2023
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Practice location Address checks out

19649 Jolgren Dr
Clinton Township, MI 48038-2259
Phone: (586) 909-9875
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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 number1407537442
Entity typeIndividual (Type 1)
GenderMale
Credentials LVT , CORPORAL
Sole proprietorYes
NPI enumeratedJuly 31, 2023
Last updated in NPPESJuly 31, 2023
Certification dateJuly 31, 2023

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