Individual
LAUTREC WILSON RADCLIFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2609 VILLAGE PROFESSIONAL DR, SUITE 3, OPELIKA, AL 36801-5442
(334) 749-6523
(334) 742-0242
Mailing address
2609 VILLAGE PROFESSIONAL DR, SUITE 3, OPELIKA, AL 36801-5442
(334) 749-6523
(334) 742-0242
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
14179
AL
207RN0300X
Nephrology Physician
Primary
14179
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1801801493
NPI
AL
01
—
51038111
BCBS LAFAYETTE
AL
01
—
51079111
BCBS DADEVILLE
AL
01
—
51079130
BCBS LANGDALE
AL
01
—
51079131
BCBS OPELIKA
AL
01
—
51079203
BCBS TUSKEGEE
AL
01
—
51520919
BCBS AUBURN
AL
05
—
528701590
—
AL
01
—
CC1726
RRMC
AL
Enumeration date
07/30/2006
Last updated
09/13/2011
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