Lori M Russo, LPN - Licensed Practical Nurse in Collegeville, PA

Lori M Russo, LPN is a Licensed Practical Nurse based in Collegeville, Pennsylvania. Lori M Russo is licensed to practice in Pennsylvania (license number PN103488L) and her current practice location is 4305 Gypsy Ln, Collegeville, Pennsylvania. She can be reached at her office (for appointments etc.) via phone at (484) 686-4464.

NPI number for Lori M Russo is 1720105174 and her current mailing address is 4305 Gypsy Ln, Collegeville, Pennsylvania. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1720105174.

Contact Information

Lori M Russo, LPN
4305 Gypsy Ln,
Collegeville, PA 19426-1165
(484) 686-4464
(267) 354-6899



Provider's Profile

Full NameLori M Russo
GenderFemale
SpecialityLicensed Practical Nurse
Location4305 Gypsy Ln, Collegeville, Pennsylvania
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1720105174
  • Provider Enumeration Date: 03/23/2007
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Lori M Russo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1720105174NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
164W00000XLicensed Practical Nurse PN103488L (Pennsylvania)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Lori M Russo is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Lori M Russo, LPN
4305 Gypsy Ln,
Collegeville, PA 19426-1165

Ph: (484) 686-4464
Lori M Russo, LPN
4305 Gypsy Ln,
Collegeville, PA 19426-1165

Ph: (484) 686-4464

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Licensed Practical Nurse Nurses in Collegeville, PA

Mr. Vince R Russo, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 4305 Gypsy Ln, Collegeville, PA 19426
Phone: 484-902-8223    Fax: 267-354-6899

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