Individual
DR. LAWRENCE A RUDNICK
Active
Individual
DR. LAWRENCE A RUDNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
036081384
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04927890
BLUE CROSS/SHIELD
IL
01
—
P00356886
RAIL ROAD MEDICARE
IL
Enumeration date
07/31/2006
Last updated
07/10/2008
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