Individual
LORA KRUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
856 COFFEEN AVE STE 105, SHERIDAN, WY 82801-5318
(406) 551-3169
Mailing address
PO BOX 1062, RANCHESTER, WY 82839-1062
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
26735
MT
Other
Enumeration date
02/13/2021
Last updated
04/03/2021
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