MEDICARE: LISA RUDDOCK MS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	16685	WI

General Provider Information

NPI Number	:	1427988682
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LISA RUDDOCK MS

Provider Business Mailing Address
First Line	:	2176 WINDING STREAM WAY
Second Line	:
City	:	SUN PRAIRIE
State	:	WI
Zip	:	53590-8868
Country	:	US
Telephone Number	:	608-797-9833
Fax Number	:

Provider Business Practice Location Address
First Line	:	2176 WINDING STREAM WAY
Second Line	:
City	:	SUN PRAIRIE
State	:	WI
Zip	:	53590-8868
Country	:	US
Telephone Number	:	608-797-9833
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/20/2026
Last Update Date	:	05/20/2026

Similar Medicare Providers

1962437053 — DR. KEVIN CHANIL PARK M.D.
Practice Location Address:

2161 WINDING STREAM WAY
SUN PRAIRIE, WI
53590-8868

Practice Phone: 702-994-2958
Practice Fax:

1568723708 — DR. ETHEL O BUBU PHARM.D.,RPH
Practice Location Address:

2007 CROSBYTON LN
GRAND PRAIRIE, TX
75052-8868

Practice Phone: 502-418-7872
Practice Fax: 214-235-0903

1699394908 — NANCY APUNDA
Practice Location Address:

2039 CROSBYTON LN
GRAND PRAIRIE, TX
75052-8868

Practice Phone: 817-709-7476
Practice Fax:

1952764706 — JEANNE LOUTHER LPC, SAC
Practice Location Address:

787 LOIS DR
SUN PRAIRIE, WI
53590-1177

Practice Phone: 608-299-9697
Practice Fax: 608-478-5646

1326506031 — JACKIE L SELL APNP
Practice Location Address:

1226 SCHOOL ST
SUN PRAIRIE, WI
53590-4475

Practice Phone: 815-914-1769
Practice Fax:

1457743965 — MRS. KIMBERLY JANE NIELSEN R.PH.
Practice Location Address:

2538 IRONWOOD DR
SUN PRAIRIE, WI
53590-8820

Practice Phone: 608-837-2867
Practice Fax: 608-825-8561

Directions to “ LISA RUDDOCK MS” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.