Lawrence D Bub in Eden Prairie - Neuroradiology

Lawrence D Bub - NPI 1639152655

Lawrence D Bub is a Neuroradiology in Eden Prairie, Minnesota. Lawrence D Bub practices all healthcare services and medical treatments related to Neuroradiology. The NPI Number for Lawrence D Bub is 1639152655. The last update date is 2013-08-14.

Lawrence D Bub's current location address is 11995 Singletree Ln, Eden Prairie, Minnesota. You can contact this provider via phone number 9525951301 and fax number 6122944903. The mailing address for Lawrence D Bub is 11995 Singletree Ln, Eden Prairie, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Lawrence D Bub
Address 11995 Singletree Ln, Eden Prairie, Minnesota
Phone Number 9525951301
Fax Number 6122944903
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1639152655
Provider Enumeration Date 2005-11-23
Last Updated Date 2013-08-14

Provider Mailing Address Detail

Address 11995 Singletree Ln
City Eden Prairie
State Minnesota (MN)
Post Code 553445347
Phone Number 9525951301
Fax Number 6122944903

Provider's Primary Taxonomy Detail

Speciality Neuroradiology
Taxonomy 2085N0700X
Licence No 43516
Definition:
A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children.

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FAQs about Lawrence D Bub

What is the unique 10-digit identification code issued to Lawrence D Bub by the Centers for Medicare & Medicaid Services?

The Lawrence D Bub has been assigned the NPI (National Provider Identifier) 1639152655 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please share the complete physical address where Lawrence D Bub is geographically located?

The Lawrence D Bub is physically situated at the following location: 11995 Singletree Ln, Eden Prairie, MN, 553445347.

What is Lawrence D Bub's specialized field of practice, and what is the corresponding taxonomy classification code?

The Lawrence D Bub's area of specialization is Neuroradiology, and the corresponding taxonomy code that categorizes this field of practice is 2085N0700X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1639152655 to Lawrence D Bub?

The Centers for Medicare & Medicaid Services originally issued the 1639152655 to Lawrence D Bub on 2005-11-23.

As of what date was the information pertaining to Lawrence D Bub, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Lawrence D Bub, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2013-08-14.

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