| Lawrence Benidict Russell, PA-C | |
|
7287 W Ridge Rd, Fairview, PA 16415-1130 | |
| (814) 877-2360 | |
| (814) 474-3561 |
| Full Name | Lawrence Benidict Russell |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 7287 W Ridge Rd, Fairview, Pennsylvania |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336148147 | NPI | - | NPPES |
| P00111403 | Other | PA | RR MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | MA000191L (Pennsylvania) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Lawrence Benidict Russell, PA-C 7287 W Ridge Rd, Fairview, PA 16415-1130 Ph: (814) 877-2360 | Lawrence Benidict Russell, PA-C 7287 W Ridge Rd, Fairview, PA 16415-1130 Ph: (814) 877-2360 |
Caroline Anne Strait, PHYSICIAN ASSISTANT Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 7287 W Ridge Rd, Fairview, PA 16415 Phone: 814-877-2360 Fax: 814-474-3561 | |
Megan Susanne Snyder, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7287 W Ridge Rd, Fairview, PA 16415 Phone: 814-877-2360 Fax: 814-474-3561 | |
Kathryn Lyn Scully, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 7287 W Ridge Rd, Fairview, PA 16415 Phone: 814-877-2360 Fax: 814-877-3561 |