Individual
DR. LAWRENCE A. NORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1505 EASTLAND DR, SUITE 220, BLOOMINGTON, IL 61701-3534
(309) 662-2278
(309) 663-2956
Mailing address
1505 EASTLAND DR, SUITE 220, BLOOMINGTON, IL 61701-3534
(309) 662-2278
(309) 663-2956
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
036054037
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036054037
UNITED HEALTHCARE
IL
01
—
0360540371
ILL. DEPT OF PUBLIC AID
IL
01
—
1302850001
ADMINISTAR FEDERAL
IL
01
—
257638
ACORDIA NATIONAL
IL
01
—
5715378
BLUE CROSS BLUE SHIELD
IL
01
—
611952300
US DEPARTMENT OF LABOR
IL
01
—
791203417
MEDICARE METRAHEALTH
IL
01
—
D14227
OSF CARE ADVANTAGE
IL
01
—
IL0101
JOHN DEERE HEALTH
IL
Enumeration date
07/21/2006
Last updated
12/05/2012
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