Individual
MR. LAWRENCE R. RICCI
Active
Individual
MR. LAWRENCE R. RICCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
0528426
KS
2085R0202X
Diagnostic Radiology Physician
Primary
106010
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100313580A
—
KS
01
—
2230500
AETNA
MO
01
—
24752079
BCBS OF KANSAS CITY
MO
05
—
249765702
—
MO
01
—
402884
BCBS OF KANSAS
KS
Enumeration date
01/17/2006
Last updated
12/21/2020
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