person
Dr. Ladd Daniel Lake, MD
Diagnostic Radiology Physician in North Platte, Nebraska
NPI 1023076874

Ladd Daniel Lake is a Diagnostic Radiology Physician based in North Platte, NE and is specialized in Diagnostic Radiology. Ladd Daniel Lake practices in North Platte, NE and has the professional credentials of MD. The NPI Number for Ladd Daniel Lake is 1023076874 and holds a License No. 22147 (Nebraska).

The current practice location address for Ladd Daniel Lake is 601 W Leota St, North Platte, NE and can be reached out via phone at 308-696-7491 and via fax at 308-696-7432. You can also correspond with Ladd Daniel Lake through the mailing address at PO BOX 362, NORTH PLATTE, NE - 69103-0362 (mailing address contact number: 866-477-7013).

Location: 601 W Leota St, North Platte, NE, 69103-0362
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Provider Profile Details
NPI Number
1023076874
Provider Name
Ladd Daniel Lake
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
601 W Leota St, North Platte, NE, 69103-0362
Phone Number
308-696-7491
Fax Number
308-696-7432
Provider Enumeration Date
05/02/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
243897 01 NE MIDLANDS CHOICE
0585794 05 IA
1603089 01 NE SHARE ADVANTAGE
605082700 01 NE US DEPARTMENT OF LABOR
04192 01 NE BC/BS OF NEBRASKA
10025186700 05 NE
20050 01 IA WELLMARK BC/BS
institution
Provider Business Practice Location Address Details
Address
601 W Leota St
City
State
Zip
69101-6525
Phone Number
308-696-7491
Fax Number
308-696-7432
person
Provider Business Mailing Address Details
Address
601 W Leota St
City
State
Zip
69101-6525
Phone Number
308-696-7491
Fax Number
308-696-7432
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
License No.
22147 (Nebraska)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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