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Individual
LAUTREC WILSON RADCLIFF
Active
Individual
LAUTREC WILSON RADCLIFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
14179
AL
207RN0300X
Nephrology Physician
Primary
14179
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1801801493
NPI
AL
01
—
51038111
BCBS LAFAYETTE
AL
01
—
51079111
BCBS DADEVILLE
AL
01
—
51079130
BCBS LANGDALE
AL
01
—
51079131
BCBS OPELIKA
AL
01
—
51079203
BCBS TUSKEGEE
AL
01
—
51520919
BCBS AUBURN
AL
05
—
528701590
—
AL
01
—
CC1726
RRMC
AL
Enumeration date
07/30/2006
Last updated
09/13/2011
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