Organization
LMR PAIN & LIFESTYLE MANAGEMENT PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORRAINE RUDDER M.D. (MEDICAL DIRECTOR)
(844) 300-6900
Entity
Organization
Contact information
Practice address
128 N HIGHWAY 77, WAXAHACHIE, TX 75165-1800
(844) 300-6900
Mailing address
2900 N QUINLAN PARK RD, SUITE B240-236, AUSTIN, TX 78732-6083
Taxonomy
Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
J4489
TX
Other
Enumeration date
02/05/2016
Last updated
02/05/2016
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