Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Nuclear Imaging & Therapy |
207UN0902X | 36 | Physician/Nuclear Medicine |
| NPI Number | 1619933546 |
| LBN Legal business name | LAKELAND NUCLEAR IMAGING, INC. |
| Authorized official | DENNIS MACK - (VICE PRESIDENT OF FACILITY & SUPPOR) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 04/20/2006 |
| Last updated | 08/20/2007 - About 19 years ago |
| Identifiers | n/a |
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