Gary Allen Russell Jr.

Case Manager/Care Coordinator · Lafayette, CO

Individual Active NPI

NPI number 1811478498

Practice location

1455 Dixon Ave
Lafayette, CO 80026-8879
Phone
(720) 406-3604

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NPI record

NPI
1811478498
Entity type
Individual (Type 1)
Enumeration date
August 22, 2018
Last updated
December 30, 2024
Certified
December 30, 2024
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Case Manager/Care Coordinator Primary 171M00000X — —

About Gary Russell

Gary Allen Russell Jr. is a healthcare provider registered in the NPI registry with the primary taxonomy Case Manager/Care Coordinator (code 171M00000X). The practice location is 1455 Dixon Ave, Lafayette, CO 80026-8879. The NPI number 1811478498 was assigned on August 22, 2018 and the record was last updated on December 30, 2024.

Frequently asked questions

What is the NPI number of Gary Allen Russell Jr.?

The NPI number is 1811478498.

What is the phone number of Gary Russell?

The phone number listed for the practice location is (720) 406-3604.

Where is Gary Russell located?

1455 Dixon Ave, Lafayette, CO 80026-8879.

What is the taxonomy code for Gary Russell?

The primary taxonomy code is 171M00000X – Case Manager/Care Coordinator.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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