Most Relevant Information
Provider Data
| NPI Number: | 1003431560 |
| Provider Name: | LITO T RUFIN NP |
| Entity Type: | Individual |
| Taxonomy Code: | 363L00000X |
| Specialty: | Nurse Practitioner |
| License Number: | 209021521 |
Most Important Dates
| Enumeration Date: | 06/10/2020 |
| Last Updated: | 06/08/2023 |
Provider Practice Location
4500 MEMORIAL DR
BELLEVILLE
IL
622265360
Practice Location Phone/Fax
| Phone: | 6182576220 |
| Fax: |
Provider Mailing Location
4500 MEMORIAL DR
BELLEVILLE
IL
622265360
Provider Mailing Phone/Fax
| Phone: | 6182576220 |
| Fax: |