Individual
LAWRENCE M RUBENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2131 E STATE ST, HOLZER CLINIC, ATHENS, OH 45701-2138
(740) 589-3100
(740) 589-4015
Mailing address
90 JACKSON PIKE, HOLZER CLINIC, GALLIPOLIS, OH 45631-1562
(740) 589-3100
(740) 566-4015
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
22099
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000264723
OHIO MEDICAID UNISON
OH
01
—
2933017
OH MEDICAID MOLINA
OH
05
—
2933017
—
OH
01
—
310917085206
OH MEDICAID CARESOURCE
OH
05
—
3810014696
—
WV
01
—
P00787220
RAILROAD MEDICARE
OH
01
—
RU4269221
MEDICARE
—
Enumeration date
06/02/2006
Last updated
03/08/2011
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