Individual
LOURDESEE RUTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2903 PROFESSIONAL PARK DR STE D, BURLINGTON, NC 27215-8573
(336) 584-4913
Mailing address
453 LEDFORD CIR, HIGH POINT, NC 27265-9288
(281) 878-9413
Taxonomy
Speciality
Code
Description
License number
State
163WN0300X
Nephrology Registered Nurse
310098
NC
363L00000X
Nurse Practitioner
Primary
5020930
NC
Other
Enumeration date
06/27/2024
Last updated
11/12/2024
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