RICHARD LYLE WOOD

ALBERT LEA, MN
NPI1104805340
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: MN  642)
Additional Taxonomies363L00000X Nurse Practitioner
(Licence: MN  R 145566-7)
Enumeration Date2006-01-16
Last Update Date2024-11-08
Business Address
RICHARD LYLE WOOD RN CNP
404 W FOUNTAIN ST
ALBERT LEA, MN 56007-2437
Phone number: 507-373-2384
Mailing Address
RICHARD LYLE WOOD RN CNP
404 W FOUNTAIN ST
ALBERT LEA, MN 56007-2437
Phone number: 507-373-2384