| Provider / Organization | NPI | Date Certified |
|---|---|---|
| LUCRETIA RUSSELL | 1447996962 | 2022-05-08 |
Lucretia Russell is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1447996962. Registration indicates Lucretia Russell is a provider of services with a specialization in Nursing Service Related Providers, Nurses Aide (Nurses Aide, ) (Nurses Aide, Nursing Service Related Providers) (Nurses Aide, )
| Entity Type | Individual |
| Provider Name | Lucretia Russell |
| Practice Office Address | 664 E 130TH ST CLEVELAND, OH US |
| Practice Office Telephone | 2162550419 |
| Mailing Address | 664 E 130TH ST CLEVELAND, OH 441082029 US |
| Business Telephone | 2162550419 |
| Code | Practice | License No State |
|---|---|---|
| 376K00000X PRIMARY | Nursing Service Related Providers Nurses Aide Nurses Aide Nurses Aide Nursing Service Related Providers Nurses Aide |