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Individual

LANCE E RUBEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1305 N ELM ST, ANESTHESIA DEPT, HENDERSON, KY 42420-2783
(270) 827-0353
(270) 827-4966
Mailing address
PO BOX 3276, EVANSVILLE, IN 47731-3276
(812) 473-0181
(812) 473-5822

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
01039695A
IN
207LP2900X
Pain Medicine (Anesthesiology) Physician
01039695A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000065507
BLUE SHIELD
IN
01
050066922
RAILROAD MEDICARE
05
100334480
IN
05
64873417
KY
Enumeration date
06/04/2006
Last updated
02/27/2012
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