Lora Rodina
Registered Nurse, Psych/Mental Health in Springfield, MO. Individual provider (NPI-1).
NPI number1982171997
StatusActive
Last updated in NPPESOct 29, 2018
Details
- NPI
- 1982171997
- Entity type
- Individual (NPI-1)
- Name
- Lora Rodina
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 29, 2018
- Last updated
- Oct 29, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WP0808X | Registered Nurse, Psych/Mental Health | 2013006803 | MO | Yes |
Practice location
2411 W Catalpa StSpringfield, MO 65807-1123
Phone 417-862-3455 · Fax 417-862-9771
Mailing address
118 N 2nd StSaint Charles, MO 63301-2832
Phone 636-224-1210 · Fax 636-946-0991
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