Individual
MS. LISA RUDOLPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNS
Contact information
Practice address
1000 NORTH LEE, OKLAHOMA CITY, OK 73101-1036
(405) 272-6368
Mailing address
2105 DEL SIMMONS DR, EDMOND, OK 73003-2411
(405) 315-1222
Taxonomy
Speciality
Code
Description
License number
State
364SA2100X
Acute Care Clinical Nurse Specialist
Primary
38393
OK
Other
Enumeration date
06/12/2007
Last updated
07/08/2007
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