Organization
PULMONARY & CRITICAL CARE CONSULTANTS OF LOUISVILLE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAWRENCE ROUBEN MD (PRESIDENT)
(502) 552-2955
Entity
Organization
Contact information
Practice address
1455 CEDAR ST, CLARKSVILLE, IN 47129-7700
(502) 552-2955
Mailing address
1455 CEDAR ST, CLARKSVILLE, IN 47129-7700
(502) 689-1835
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
26070
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051953
SIHO
IL
05
—
200806860A
—
IN
05
—
2445153000
—
KY
01
—
262400
MEDICARE
IN
05
—
5003733
—
KY
Enumeration date
12/04/2006
Last updated
11/15/2010
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