NPI 1154774651

Lisa Russell, LM

Practitioner Midwife Sarasota, FL

Practice location

Address: 4222 McIntosh Ln, Sarasota, FL 34232-5027
Phone: (941) 366-2229

Registered specialties

Midwife Primary

Other Service Providers Taxonomy 176B00000X Licence MW333 (FL)

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Registry record

NPI: 1154774651
Entity type: Individual
Sex (as registered): Female
NPI issued: 20 Jul 2016
Record last updated: 20 Jul 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.