| Organization Name: | RUSSELL LAUREN & CO |
| NPI Number: | 1215009519 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DARLENE M PUMO (VICE PRESIDENT) |
| Mailing Address: | 329 West Johnson Highway East Norriton |
| State: | PA US |
| Postal Code: | 19401 |
| Phone Number: | 6102724012 |
| Fax Number: | 6102721892 |
| NPI Enumeration Date: | 11/14/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332BC3200X |
| License Number: | 332BC3200X |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | Customized Equipment |
| Taxonomy Definition: | |