Rudd, Lisa L

Rudd, Lisa L is an individual health care provider with primary practice located at 300 Lorenaly Dr , Brownsville TX 78526-4060. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, which is considered as her primary health care specialty. Rudd, Lisa L can be contacted via phone (956) 350-5007.

Contact Information

Primary practice address
300 Lorenaly Dr Brownsville TX 78526-4060
Phone: (956) 350-5007
Fax: (956) 350-0945
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X 585898 Texas

Profile Details

NPI number 1477756880
LBN Legal business name Rudd, Lisa L
Credentials R.N.C., W.H.N.P.
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2007
Last updated Sep 27th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477756880 NPPES
Texas MEDICAID 084800401

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