| Lawrence Alan Raines, MD | |
|
1404 Eastland Dr, Ste 104, Bloomington, IL 61701 | |
| (309) 663-4351 | |
| (309) 663-8359 |
| Full Name | Lawrence Alan Raines |
|---|---|
| Gender | Male |
| Speciality | Surgery |
| Location | 1404 Eastland Dr, Bloomington, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487747481 | NPI | - | NPPES |
| 0360571721 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 036-057172 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Lawrence Alan Raines, MD 1404 Eastland Dr, Ste 104, Bloomington, IL 61701 Ph: (309) 663-4351 | Lawrence Alan Raines, MD 1404 Eastland Dr, Ste 104, Bloomington, IL 61701 Ph: (309) 663-4351 |
Dr. Jeffrey Scott Poulter, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 1505 Eastland Dr, Ste 350, Bloomington, IL 61701 Phone: 309-663-1222 Fax: 309-663-0580 | |
Dr. John Stephen Esch, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 1505 Eastland Dr, Suite 2300, Bloomington, IL 61701 Phone: 309-662-9022 Fax: 309-662-2091 | |
Dr. John M. Wieland, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1505 Eastland Dr, Suite 2300, Bloomington, IL 61701 Phone: 309-662-9022 Fax: 309-662-2091 |