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Individual

DR. LAWRENCE P RYAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS,MD

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
007529
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
007529
CONNECTICARE INSURANCE
CT
01
020007529CT07
ANTHEM BLUE CROSS
CT
01
0418117
CIGNA
PA
01
204861
CIGNA DENTAL HEALTH
TN
01
207529
DELTA
NJ
01
4332423
AETNA
TX
Enumeration date
02/22/2007
Last updated
07/08/2007
Update your record

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