Lorene Elaine Rutherford, MD | |
3000 Hundertmark Rd, Chaska, MN 55318-1150 | |
(952) 556-0120 | |
(952) 556-0121 |
Full Name | Lorene Elaine Rutherford |
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Gender | Female |
Speciality | Pediatrics |
Location | 3000 Hundertmark Rd, Chaska, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1821177502 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208000000X | Pediatrics | 39519 (Minnesota) | Primary |
Entity Name | Lakeview Clinic, Ltd. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669599981 PECOS PAC ID: 6002801453 Enrollment ID: O20040416000213 |
Mailing Address | Practice Location Address |
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Lorene Elaine Rutherford, MD 3000 Hundertmark Rd, Chaska, MN 55318-1150 Ph: (952) 556-0120 | Lorene Elaine Rutherford, MD 3000 Hundertmark Rd, Chaska, MN 55318-1150 Ph: (952) 556-0120 |
Carrie Ann Muench, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 111 Hundertmark Rd, #420, Chaska, MN 55318 Phone: 952-448-3847 Fax: 952-448-5083 | |
Kalli Amber Hess, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 111 Hundertmark Rd #420, Chaska, MN 55318 Phone: 952-448-3847 Fax: 952-448-5083 | |
Laurel L Erickson, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 110105 Pioneer Trl W, Chaska, MN 55318 Phone: 952-556-0120 Fax: 952-556-0121 | |
Julie Elizabeth Ewasiuk, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 111 Hudertmark Road, Suite 210, Chaska, MN 55318 Phone: 952-401-8300 Fax: 952-401-8242 | |
Jeffrey Thomas Humbert, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 111 Hundertmark Rd Ste 420, Chaska, MN 55318 Phone: 952-448-3847 Fax: 952-448-5083 | |
Joseph Edward Mchugh, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 111 Hundertmark Rd Ste 420, Chaska, MN 55318 Phone: 952-448-3847 Fax: 952-448-5083 |