MEDICARE: LAUREN RUEDA ND

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	175F00000X	Naturopath

General Provider Information

NPI Number	:	1578380150
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAUREN RUEDA ND

Provider Business Mailing Address
First Line	:	668 E COLT CT
Second Line	:
City	:	CHANDLER
State	:	AZ
Zip	:	85225-1330
Country	:	US
Telephone Number	:	480-868-1157
Fax Number	:

Provider Business Practice Location Address
First Line	:	11000 N SCOTTSDALE RD STE 115
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85254-6168
Country	:	US
Telephone Number	:	805-367-7404
Fax Number	:

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

Provider Enumeration Date	:	09/24/2024
Last Update Date	:	09/24/2024

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