Individual
DR. LAWRENCE M RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9200 W WISCONSIN AVE, DIVISION OF RHEUMATOLOGY, MILWAUKEE, WI 53226-3522
(414) 955-7024
(414) 955-6205
Mailing address
9200 W WISCONSIN AVE, DIVISION OF RHEUMATOLOGY, MILWAUKEE, WI 53226-3522
(414) 955-7024
(414) 955-6205
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
18025
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002000140X
HUMANA
—
05
—
1629020300
—
WI
01
—
660000589
RAILROAD MEDICARE
—
Enumeration date
05/17/2006
Last updated
10/07/2014
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