Provider Demographics
NPI:1881916971
Name:RUSS NAPARALLA, LUGENE (MCD)
Entity type:Individual
Prefix:
First Name:LUGENE
Middle Name:
Last Name:RUSS NAPARALLA
Suffix:
Gender:F
Credentials:MCD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:801 TETE LOURS DR
Mailing Address - Street 2:
Mailing Address - City:MANDEVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70471-1774
Mailing Address - Country:US
Mailing Address - Phone:985-778-9948
Mailing Address - Fax:
Practice Address - Street 1:801 TETE LOURS DR
Practice Address - Street 2:
Practice Address - City:MANDEVILLE
Practice Address - State:LA
Practice Address - Zip Code:70471-1774
Practice Address - Country:US
Practice Address - Phone:985-845-2006
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-17
Last Update Date:2021-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA1525235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist