Organization
LORI ASHLOCK-RUDA FNP-C LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORI ASHLOCK-RUDA FNP-C (OWNER)
(417) 336-3627
Entity
Organization
Contact information
Practice address
800 STATE HIGHWAY 248, BLDG III UL, BRANSON, MO 65616-3721
(417) 336-3627
Mailing address
800 STATE HIGHWAY 248, BLDG III UL, BRANSON, MO 65616-3721
(417) 336-3627
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
136833
MO
Other
Enumeration date
06/15/2010
Last updated
06/15/2010
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