Individual
DR. LAWRENCE J RUEFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4001 KRESGE WAY STE 315, LOUISVILLE, KY 40207-4640
(502) 384-8520
(502) 895-6638
Mailing address
4001 KRESGE WAY STE 315, LOUISVILLE, KY 40207-4640
(502) 384-8520
(502) 895-6638
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
26028
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000047116
ANTHEM BC/BS
KY
05
—
1049435
—
KY
01
—
1891789996
RAILROAD MEDICARE
KY
01
—
6109684127211
ANTHEM SR ADVANTAGE
KY
05
—
64260284
—
KY
Enumeration date
09/02/2005
Last updated
02/12/2019
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