Individual
DR. LAWRENCE DAVID WOLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
036059451
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036059451
—
IL
01
—
1623380
BCBS
IL
01
—
180037165
MEDICARE RAILROAD
IL
01
—
2599030001
DMERC
IL
Enumeration date
08/11/2005
Last updated
06/01/2012
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