Search › Massachusetts › 207R00000X
Jennifer Russo
NPI 1699032128 · on the registry since 2012 · sole proprietor
Practice
- Address
- 166 Central St
Lowell, MA 01852 - Phone
- (978) 513-7300
- Fax
- (781) 268-5070
- Clinicians at this address
- 29
Additional practice sites
- 37 Friend St, Lynn, MA
Registry record
- Primary taxonomy
- 207R00000X
207R00000X
- Licence states on file
- MA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-10-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Massachusetts