Lauren K Russell, PT | |
1000 Knotts Pointe Ln Ste 103, Suffolk, VA 23435-1135 | |
(175) 753-0401 | |
Not Available |
Full Name | Lauren K Russell |
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Gender | Female |
Speciality | Physical Therapist |
Location | 1000 Knotts Pointe Ln Ste 103, Suffolk, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1992091763 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 23658 (Maryland) | Secondary |
225100000X | Physical Therapist | 2305213238 (Virginia) | Primary |
Provider Name | Mdrs Spine & Sport Inc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1952394603 PECOS PAC ID: 3274446687 Enrollment ID: O20031111000725 |
Mailing Address | Practice Location Address |
---|---|
Lauren K Russell, PT 8316 Arlington Blvd, Suite 400, Fairfax, VA 22031-5207 Ph: (703) 560-3190 | Lauren K Russell, PT 1000 Knotts Pointe Ln Ste 103, Suffolk, VA 23435-1135 Ph: (175) 753-0401 |
Seth D. Myers, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2012 Meade Pkwy, Suffolk, VA 23434 Phone: 757-934-3366 Fax: 757-539-2322 | |
Carolyn M Carty, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2012 Meade Pkwy, Suffolk, VA 23434 Phone: 757-934-3366 Fax: 757-539-2322 | |
Sophie Hoy, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 150 Burnetts Way Ste 230, Suffolk, VA 23434 Phone: 757-942-2022 | |
Katelyn Sidoti, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 150 Burnetts Way Ste 230, Suffolk, VA 23434 Phone: 757-942-2022 | |
Janay Dockery, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 150 Burnetts Way Ste 230, Suffolk, VA 23434 Phone: 757-942-2022 | |
Mrs. Krista C. Stirling, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 100 Anna Goode Way, Suffolk, VA 23434 Phone: 757-539-5797 | |
Quintin S. Lewis, PT, DPT, CMTPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2007 Meade Pkwy, Suffolk, VA 23434 Phone: 757-539-6300 Fax: 757-539-0704 |