Ladd Daniel Lake M.D.

NPI 1023076874 - Radiology - 2085R0202X

NPI Details
NPI 1023076874
Gender Male
Enumeration Date 05/02/2006
Last Updated 05/31/2016
Entity Type Individual
Active Over 10 years ago
Practice Location
601 W LEOTA ST
NORTH PLATTE NE, 69101-6525, US
Phone (308) 696-7491
Fax (308) 696-7432
Business Location
PO BOX 362
NORTH PLATTE NE, 69103-0362, US
Phone (866) 477-7013
Fax (402) 505-6949
Toxanomy
Taxonomy Code 2085R0202X
License State Nebraska
License Number 22147
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According to our database, Dr. Ladd Daniel Lake M.D. NPI is 1023076874, taxonomy code is 2085R0202X and license number is 22147, license state is located at Nebraska. Ladd Daniel Lake M.D. physically located at 601 W Leota St, North Platte NE, 69101-6525. NPI Number Ladd Daniel Lake M.D. has the Individual type.

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1023076874 NPI number is provided on an as is basis without warranty of any kind. 1023076874 is maintained by the National Plan & Provider Enumeration System. The contents of Ladd Daniel Lake M.D. are for informational purposes only.