Individual
PHILIP H LANDER
Active
Individual
PHILIP H LANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
L2355DP
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009909505
—
AL
05
—
009932664
—
AL
05
—
009932666
—
AL
05
—
009932667
—
AL
05
—
009936954
—
AL
05
—
009992570
—
AL
05
—
009992580
—
AL
01
—
051509915
BLUE CROSS
AL
01
—
051509916
BLUE CROSS
AL
01
—
051509917
BLUE CROSS
AL
01
—
051512835
BLUE CROSS
AL
05
—
051551736
—
AL
Enumeration date
06/29/2006
Last updated
07/05/2011
Update your record
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