IndividualActive
Andres Russo
NPI 1710353370 · Community/Behavioral Health Agency · Lawrence, MA
Provider details
- NPI number
- 1710353370
- Entity type
- Individual
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Sex
- Male
- Sole proprietor
- Yes
Mailing address
12 School St
Lawrence, MA 01841-5042
Registry dates
- Enumerated
- 2015-08-18
- Last updated
- 2015-08-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.