Lawrence I Russell, M.D.

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

014024 Issued in LA

Practice address

4212 West Congress Street
Suite 1401
Lafayette, LA 70506

Phone

(337) 981-8131

Fax

(337) 989-1316

NPI assigned

Jul 7, 2005

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Lawrence I. Russell, M.D.,LTD

  • Cardiovascular Disease Physician
  • Lafayette, LA
  • NPI 1811027881
  NPD (past) Authorized official
• Our Lady of Lourdes Regional Medical Center

  • Neurology Physician
  • Lafayette, LA
  • NPI 1265593735
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269475200000",
    "number": "1407853237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4212 WEST CONGRESS STREET",
            "address_2": "SUITE 1401",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "70506",
            "telephone_number": "337-981-8131",
            "fax_number": "337-989-1316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4212 WEST CONGRESS STREET",
            "address_2": "SUITE 1401",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "70506",
            "telephone_number": "337-981-8131",
            "fax_number": "337-989-1316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "LAWRENCE",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2010-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "LA",
            "license": "014024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1167169",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rush Medical - Lafayette, LLC
• Ashley Rush, LPC
• Samantha Faye Rushlow
• Wynona Russ, LPC
• Erika L Russell, MS, PLPC
• Natalie Russell
• Scheresia Ren'Ee Russell, M.ED., CCC-SLP
• James Kyle Russo II, M.D.
• Jennifer Russo, PMHNP
• Ruth Smothers MD P.C

• Cardiovascular Disease Physician in Lafayette, LA
• Providers in Lafayette, LA by specialty
• Cardiovascular Disease Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.