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Contact Information

LAUREN RUDOLPH, MD
2555 E 13TH ST STE 105
LOVELAND, CO80537-5134
 Phone: 319-384-7765
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sports Medicine

2081S0010X 25 Physician/Physical Medicine and Rehabilitation
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for LAUREN RUDOLPH · (Female)

NPI # 1134530033
Status Active
Credentials MD
Entity Individual
Enumeration date 05/13/2014
Last updated 04/23/2020 - About 6 years ago
Sole proprietor 1 Yes
Identifiers
  • CO License # DR.0062433
  • IA License # R-11267
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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