Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | A118170 | CA |
Y | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | A118170 | CA |
NPI | 1093971293 |
---|---|
Provider Name | Dr. Lanny Rudner |
First Address | Los Angeles, CA 90049-7836 |
Second Address | Beverly Hills, CA 90211-2286 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/08/2008 |
Last Update Date | 16/03/2021 |