LAUREN NICOLE RUSSELL (NPI# 1396351813) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396351813 |
| Entity Type | Individual |
| Full Name | LAUREN NICOLE RUSSELL |
| Practice Address |
10845 Town Center Blvd Ste 108 Dunkirk MD 20754-2712 |
| Mailing Address |
44096 Sandy Bottom Rd Hollywood MD 20636-3118 |
| Practice Telephone | 4106504346 |
| Mailing Telephone | 2405773669 |
| Enumeration Date | 2020-09-21 |
| Last Update Date | 2020-09-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
C0007684 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | MARYLAND BOARD OF PHYSICIANS | C0007684 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790076198 | Lauren Kennedy Russell | Dentist | 2200 Olympic St, Springfield, OH 45503-2858 | 2011-04-20 |
| 1023633799 | Lauren H Russell | Physician Assistant | 3903 S Cobb Dr Se Ste 200, Smyrna, GA 30080-6301 | 2020-06-09 |
| 1861020927 | Lauren Elizabeth Russell | Student in an Organized Health Care Education/Training Program | 1 Baylor Plz, Houston, TX 77030-3411 | 2020-04-01 |
| 1275194177 | Lauren Ann Russell | Community Health Worker | 1100 Lincoln Ave Ste 108, Napa, CA 94558-4908 | 2019-06-22 |
| 1346800935 | Lauren Elizabeth Russell | Pharmacist | 3000 N I 35, Denton, TX 76201-5119 | 2019-06-17 |
| 1194214247 | Lauren Elizabeth Lambert Russell | Occupational Therapist | 12000 Turnmeyer Dr Se, Huntsville, AL 35803-3358 | 2018-05-04 |
| 1245584879 | Lauren Russell | Behavioral Analyst | 10175 Fortune Pkwy Unit 903, Jacksonville, FL 32256-6755 | 2012-11-05 |
| 1538439542 | Lauren C Russell | Counselor | 344 E 100 S, Salt Lake City, UT 84111-1700 | 2012-01-06 |
| 1790063824 | Lauren Russell | Case Manager/Care Coordinator | 7501 Belinder Ave, Prairie Village, KS 66208-3659 | 2011-07-22 |
| 1992091763 | Lauren K Russell | Physical Therapist | 14405 Laurel Pl, Suite 102, Laurel, MD 20707-6102 | 2011-06-21 |
| Street Address |
10845 TOWN CENTER BLVD STE 108 |
| City | DUNKIRK |
| State | MD |
| Zip Code | 20754-2712 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871065540 | Statcare Group, LLC | Clinic/Center | 10845 Town Center Blvd Ste 108, Dunkirk, MD 20754-2712 | 2018-12-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093855819 | Katherine Lambert | Physician Assistant | 10095 Ward Rd, Dunkirk, MD 20754 | 2007-02-08 |
| 1043377963 | Lengade and Zolfaghari LLC | Dentist | 10020 Southern Md Blvd, Ste 201a, Dunkirk, MD 20754 | 2007-01-02 |
| 1346347838 | Maryland Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 10095 Ward Rd Dunkirk Marketplace, Dunkirk, MD 20754 | 2006-09-19 |
| 1043320161 | Kenneth C Kates Jr. | Dentist | 10345 Southern Maryland Blvd, Suite 211, Dunkirk, MD 20754 | 2006-08-30 |
| 1841200813 | Giant of Maryland LLC | Durable Medical Equipment & Medical Supplies | 10790 Town Center Blvd, Dunkirk, MD 20754 | 2006-08-09 |
| 1184691263 | Laura Susana Radesca | Dentist | 2880 Dunkirk Way, Suite 103, Dunkirk, MD 20754 | 2006-03-07 |
| 1568936821 | Centers for Advanced Orthopaedics, LLC | Orthopaedic Surgery | 10845 Town Center Blvd Ste 101, Dunkirk, MD 20754 | 2019-01-18 |
| 1023328473 | Calvert Family and Cosmetic Dentistry | Dentist | 10365 Southern Maryland Blvd, Dunkirk, MD 20754 | 2010-10-19 |
| 1851417430 | Dennis Michael Cherry | Dentist | 10420 Southern Maryland Blvd, Dunkirk, MD 20754 | 2007-03-22 |
| 1083681191 | Jose Carlos Juambeltz | Dentist | 2880 Dunkirk Way, Suite 103, Dunkirk, MD 20754 | 2006-03-07 |
| Find all providers in zip 20754 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316494271 | David Eugene Bull | Physician Assistant | 319 Central Ave, Suite B, Dunkirk, NY 14048-2137 | 2016-09-07 |
| 1568803724 | Christopher Peter Morton | Physician Assistant | 322 Park Ave, Dunkirk, NY 14048-2237 | 2013-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336767227 | Merlyn Angella Boakai | Physician Assistant | 800 Sero Pine Ln, Fort Washington, MD 20744-5954 | 2020-07-08 |
| 1831730878 | Jennifer Bacher | Physician Assistant | 1185 Imperial Dr Ste 201, Hagerstown, MD 21740-6673 | 2019-10-01 |
| 1831747971 | Miriam Noelle Meiser | Physician Assistant | 10750 Columbia Pike Unit 401a, Silver Spring, MD 20901-4402 | 2019-09-02 |
| 1285296913 | Mary Furda | Physician Assistant | 20680 Seneca Meadows Pkwy Ste 206, Germantown, MD 20876 | 2019-07-02 |
| 1902466998 | Christina Deleon | Physician Assistant | 403 Marvel Court, Easton, MD 21601 | 2019-06-20 |
| 1467012369 | Molly Uebele Harrigan | Physician Assistant | 5225 Pooks Hill Rd Apt 1007n, Bethesda, MD 20814-2041 | 2019-06-13 |
| 1558834234 | Kevin Timothy Johnson | Physician Assistant | 411 Naylor Mill Rd, Salisbury, MD 21801-1191 | 2019-01-06 |
| 1093287260 | Carolina Radzyminska Johnson | Physician Assistant | 10750 Columbia Pike Ste 401, Silver Spring, MD 20901-4402 | 2018-12-27 |
| 1962971309 | Emmy L Estrada | Physician Assistant | 12150 Annapolis Rd Ste 208, Glenn Dale, MD 20769-9183 | 2018-11-14 |
| 1982170833 | Barbara Argyros | Physician Assistant | 1415 S. Mountain Road, Suite 100, Joppa, MD 21085 | 2018-10-18 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.