Provider Demographics
NPI:1275557597
Name:RUSSELL, LORNA ELIZABETH (MD)
Entity Type:Individual
Prefix:DR
First Name:LORNA
Middle Name:ELIZABETH
Last Name:RUSSELL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1701 COUNTY ROAD 33620
Mailing Address - Street 2:
Mailing Address - City:PARIS
Mailing Address - State:TX
Mailing Address - Zip Code:75460-0628
Mailing Address - Country:US
Mailing Address - Phone:903-784-8565
Mailing Address - Fax:903-785-3038
Practice Address - Street 1:604 LAMAR AVE
Practice Address - Street 2:
Practice Address - City:PARIS
Practice Address - State:TX
Practice Address - Zip Code:75460-4419
Practice Address - Country:US
Practice Address - Phone:903-785-3813
Practice Address - Fax:903-785-3038
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG5561207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology