| Doctor Name: | LANNEA RUSSELL |
| NPI Number: | 1053737379 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | R.D.N. |
| License Number: | 1034544 |
| Business Practice Address: | 1532 Galena St Suite 300 Aurora, CO - 800102287 |
| Business Phone Number: | 3039008639 |
| Business Fax Number: | |
| Mailing Address: | 1257 Vine St, 204 DENVER |
| State: | CO |
| Postal Code: | 802062915 |
| Phone Number: | 9702189621 |
| Fax Number: | |
| NPI Enumeration Date: | 03/11/2014 |
| NPI Last Update Date: | 03/11/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133V00000X |
| License Number: | 1034544 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CO |
| Taxonomy Type: | Dietary & Nutritional Service Providers |
| Taxonomy Classification: | Dietitian, Registered |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |