IndividualActive
Lori Russell, CERT. HAIR LOSS SPEC
NPI 1629512835 · Prosthetics Case Management · Springfield, VA
Provider details
- NPI number
- 1629512835
- Entity type
- Individual
- Primary specialty
- Prosthetics Case ManagementOther Service Providers
- Credential
- CERT. HAIR LOSS SPEC
- Sex
- Female
- Sole proprietor
- No
- License
- 1204018222 (VA)
Specialties & taxonomies
Other Service Providers
Practice location
6133 Backlick Rd
Springfield, VA 22150-2637
Phone: (571) 230-6302
Approximate (ZIP-level) locationGet directions
Mailing address
1803 Hyden Pl
Woodbridge, VA 22191-4435
Registry dates
- Enumerated
- 2016-12-06
- Last updated
- 2023-06-05
- Certified
- 2023-06-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.