Search › Illinois › 332B00000X
Lawrence Buckman, C PED
NPI 1093938359 · on the registry since 2007 · sole proprietor
Practice
- Address
- 5823 E Riverside Blvd
Rockford, IL 61114 - Phone
- (815) 654-1900
- Fax
- (815) 282-9567
- Organisation at this address
- Nissi Corp
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 332B00000X
332B00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois