Individual
LISA RUDD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3305 SPRING ARBOR RD, JACKSON, MI 49203-3794
(517) 768-4377
(517) 780-3932
Mailing address
3305 SPRING ARBOR RD, JACKSON, MI 49203-3794
(517) 768-4377
(517) 780-3932
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
4704215073
MI
Other
Enumeration date
03/21/2014
Last updated
03/21/2014
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