Provider Demographics
NPI:1184328627
Name:RUOFF, LENEJEAN PRACTICE
Entity type:Organization
Organization Name:RUOFF, LENEJEAN PRACTICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:LENEJEAN
Authorized Official - Middle Name:POSTANES
Authorized Official - Last Name:RUOFF
Authorized Official - Suffix:
Authorized Official - Credentials:AGPCNP-C
Authorized Official - Phone:313-268-9991
Mailing Address - Street 1:23095 COLGATE ST
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48336-3623
Mailing Address - Country:US
Mailing Address - Phone:313-268-9991
Mailing Address - Fax:
Practice Address - Street 1:23095 COLGATE ST
Practice Address - Street 2:
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48336-3623
Practice Address - Country:US
Practice Address - Phone:313-268-9991
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-29
Last Update Date:2023-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health