Individual
LORA RODINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2411 W CATALPA ST, SPRINGFIELD, MO 65807-1123
(417) 862-3455
(417) 862-9771
Mailing address
118 N 2ND ST, SAINT CHARLES, MO 63301-2832
(636) 224-1210
(636) 946-0991
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
2013006803
MO
Other
Enumeration date
10/29/2018
Last updated
10/29/2018
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