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Individual

LAWRENCE G RAND

Active
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Individual

LAWRENCE G RAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
01059811
IN
2085R0202X
Diagnostic Radiology Physician
Primary
134789
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01086268
NY
05
02271878
NY
05
200503240
IN
01
5607927
IHA
NY
01
P00804125
RAILROAD MEDICARE
NY
Enumeration date
11/14/2005
Last updated
09/16/2013
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