| Lawrence Rueff Md Personal Physician Pllc | |
|
4001 Kresge Way Ste 315 Louisville KY 40207-4640 | |
| (502) 216-3700 | |
| Not Available |
| Full Name | Lawrence Rueff Md Personal Physician Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 4001 Kresge Way Ste 315, Louisville, Kentucky |
| Authorized Official Name and Position | Lawrence J Rueff (OWNER) |
| Authorized Official Contact | 5022163700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lawrence Rueff Md Personal Physician Pllc 4001 Kresge Way Ste 315 Louisville KY 40207-4640 Ph: () - | Lawrence Rueff Md Personal Physician Pllc 4001 Kresge Way Ste 315 Louisville KY 40207-4640 Ph: (502) 216-3700 |
| NPI Number | 1912251547 |
|---|---|
| Provider Enumeration Date | 11/05/2012 |
| Last Update Date | 11/05/2012 |
| Medicare PECOS PAC ID | 2163676271 |
|---|---|
| Medicare Enrollment ID | O20130124000516 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912251547 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Lawrence J Rueff |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891789996 PECOS PAC ID: 9830161587 Enrollment ID: I20100326000834 |
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