Individual
MR. LAWRENCE L RUDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA CCCA
Contact information
Practice address
12330 METCALF AVE, SUITE 560, OVERLAND PARK, KS 66213-1324
(913) 498-2827
(913) 498-1052
Mailing address
7301 MISSION RD STE 146, PRAIRIE VILLAGE, KS 66208-3005
(913) 384-2105
(913) 384-0735
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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