Lawrence Alan Raines, MD
Surgery Physician · Bloomington, IL
Practice location
1404 Eastland DrSte 104
Bloomington, IL 61701
- Phone
- (309) 663-4351
- Fax
- (309) 663-8359
NPI record
- NPI
- 1487747481
- Entity type
- Individual (Type 1)
- Enumeration date
- October 2, 2006
- Last updated
- July 8, 2007
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery Physician Primary | 208600000X |
036-057172 | IL |
About Dr. Raines
Lawrence Alan Raines, MD is a healthcare provider registered in the NPI registry with the primary taxonomy Surgery Physician (code 208600000X). The practice location is 1404 Eastland Dr, Ste 104, Bloomington, IL 61701. The NPI number 1487747481 was assigned on October 2, 2006 and the record was last updated on July 8, 2007.
Dr. Raines lists a license in the registry: #036-057172 (IL) for Surgery Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Lawrence Alan Raines, MD?
The NPI number is 1487747481.
What is the phone number of Dr. Raines?
The phone number listed for the practice location is (309) 663-4351.
Where is Dr. Raines located?
1404 Eastland Dr, Ste 104, Bloomington, IL 61701.
What is the taxonomy code for Dr. Raines?
The primary taxonomy code is 208600000X – Surgery Physician.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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- Premier Medical Group, LLC1401 Eastland Dr Ste B
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