Individual
LANCE A. RUDOLPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
300 OAK ST NE, ALBUQUERQUE, NM 87106-4725
(505) 855-5525
(505) 884-4006
Mailing address
300 OAK ST NE, ALBUQUERQUE, NM 87106-4725
(505) 855-5525
(505) 884-4006
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
83-104
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000-16667
—
NM
05
—
000Z5691
—
NM
01
—
NM004414
BCBS NM/HMO NM
NM
Enumeration date
03/22/2006
Last updated
01/31/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us