Individual
LORI KRUIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
12033 AGENCY RD, PARKER, AZ 85344-7718
(928) 663-2137
(928) 669-3232
Mailing address
3780 YUCCA DR, LAKE HAVASU CITY, AZ 86404-2220
(928) 669-3314
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
88710
OK
Other
Enumeration date
09/29/2015
Last updated
09/29/2015
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