Individual
MRS. LISA MAY RUDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSFA
Contact information
Practice address
2045 FRANKLIN ST, DENVER, CO 80205-5437
(303) 338-4545
Mailing address
2567 E 142ND AVE, THORNTON, CO 80602-8878
(303) 579-1974
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
136586
CO
Other
Enumeration date
11/04/2012
Last updated
11/04/2012
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