Ruzicka, Lisa Ranae

Ruzicka, Lisa Ranae is an individual health care provider with primary practice located at 1454 30Th St Suite 103, West Des Moines IA 50266-1305. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Ruzicka, Lisa Ranae can be contacted via phone (515) 223-6620.

Contact Information

Primary practice address
1454 30Th St Suite 103 West Des Moines IA 50266-1305
Phone: (515) 223-6620
Fax: (515) 223-9625
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 00669 Iowa

Profile Details

NPI number 1366672198
LBN Legal business name Ruzicka, Lisa Ranae
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2009
Last updated Jul 14th, 2009 - about 15 years ago

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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1366672198 NPPES
Iowa MEDICAID 0665190

Popular Providers