Individual
RUDOLF LOPERENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
905 MAIN ST, LISBON, ND 58054-4334
(701) 683-6400
(701) 683-4345
Mailing address
905 MAIN ST, LISBON, ND 58054-4334
(701) 683-6400
(701) 683-4345
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
8003
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1455852
—
ND
Enumeration date
06/23/2006
Last updated
01/11/2019
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