Lakes Radiology Pllc

NPI 1265409635 - Clinic/Center - 261QM1200X

NPI Details
NPI 1265409635
Enumeration Date 03/03/2006
Last Updated 09/16/2010
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name IDDO IDDO
Position PRESIDENT
Phone (315) 857-0094
Fax
Practice Location
8395 OSWEGO RD
BALDWINSVILLE NY, 13027-6801, US
Phone (315) 857-0094
Fax
Business Location
PO BOX 2004
EAST SYRACUSE NY, 13057-4504, US
Phone (315) 362-5285
Fax (315) 445-2936
Toxanomy
Taxonomy Code 261QM1200X
License State
License Number
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According to our database, Lakes Radiology Pllc NPI is 1265409635, taxonomy code is 261QM1200X Lakes Radiology Pllc physically located at 8395 Oswego Rd, Baldwinsville NY, 13027-6801. NPI Number 1033115704 has the healthcare provider type.

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1265409635 NPI number is provided on an as is basis without warranty of any kind. 1265409635 is maintained by the National Plan & Provider Enumeration System. The contents of Lakes Radiology Pllc are for informational purposes only.