NPI 1205971405
Lorie Russell
Practice location
- Address
- 2130 W Jefferson St, Joliet, IL 60435-6622
- Phone
- (815) 725-1102
- Fax
- (815) 725-7500
- Mailing address
- 116 E 3rd St, Braidwood, IL 60408-1512
Registered specialties
Pharmacy Technician
Primary
Registry record
- NPI
- 1205971405
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 21 Feb 2007
- Record last updated
- 8 Jul 2007
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.