| Rudolf Loperena, MD | |
|
905 Main St, Lisbon, ND 58054-4334 | |
| (701) 683-6400 | |
| (701) 683-4345 |
| Full Name | Rudolf Loperena |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 905 Main St, Lisbon, North Dakota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881620805 | NPI | - | NPPES |
| 1455852 | Medicaid | ND |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 8003 (North Dakota) | Primary |
| Entity Name | Lisbon Area Health Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811168958 PECOS PAC ID: 4486562873 Enrollment ID: O20041008000975 |
| Mailing Address | Practice Location Address |
|---|---|
| Rudolf Loperena, MD 905 Main St, Lisbon, ND 58054-4334 Ph: (701) 683-6400 | Rudolf Loperena, MD 905 Main St, Lisbon, ND 58054-4334 Ph: (701) 683-6400 |
Dr. Oscar Fernandez, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 905 Main St, Lisbon, ND 58054 Phone: 701-683-6400 | |
Dr. Barbara Sheets Olson, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 10 9th Ave E, Lisbon, ND 58054 Phone: 701-683-4711 Fax: 701-683-3205 | |
Kiesha M. Onyeneho, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 905 Main St, Lisbon, ND 58054 Phone: 701-683-6400 |