MRS. Lori Ann Ridder, PA

NPI #1598904633 in Sedan, Kansas

Provider Information

NPI Number: 1598904633
Entity Type: Individual
Name: MRS. Lori Ann Ridder, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Feb 12, 2009
Last Updated: Feb 12, 2009

Practice Location

Address: 300 W NORTH ST
City: Sedan
State: Kansas
ZIP Code: 67361-1051
Phone: (620) 725-3818

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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