Individual
LEASA RUETER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 EXECUTIVE DR STE D, LAFAYETTE, IN 47905-4863
(765) 960-6493
Mailing address
3612 WINTER ST, LAFAYETTE, IN 47909-3838
(659) 606-4937
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22006579A
IN
Other
Enumeration date
09/22/2015
Last updated
08/02/2024
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