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Individual
MR. LAWRENCE L RUDER
Active
Individual
MR. LAWRENCE L RUDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA CCCA
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
867
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100398800A
—
KS
01
—
14105034
BCBS OF KANSAS CITY
—
01
—
481106646
HUMANA
—
01
—
640004509
TRAVELERS MEDICARE
—
01
—
7184252
AETNA
—
01
—
LE714
HEARING AID DISPENSING LI
KS
01
—
P33678
COVENTRY
—
Enumeration date
03/02/2006
Last updated
10/27/2008
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