Individual
BILL LAUDERDALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
288 STATE HWY Y, FORSYTH, MO 65653-0010
(417) 546-3357
Mailing address
PO BOX 10, FORSYTH, MO 65653-0010
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
MD.29118
MO
Other
Enumeration date
12/05/2016
Last updated
12/05/2016
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