Individual
MS. LORI A. RUTHERFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4515 BRAMBLETON AVE STE B, ROANOKE, VA 24018-3436
(540) 777-6807
Mailing address
949 PINEY FOREST RD, DANVILLE, VA 24540-1591
(540) 982-2463
(540) 224-1904
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
0024103669
VA
Other
Enumeration date
04/19/2006
Last updated
03/26/2025
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