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Lara N Mrak, MD
Diagnostic Radiology Physician in Hartford, Wisconsin
NPI 1063832608

Lara N Mrak is a Diagnostic Radiology Physician based in Chicago, WI and is specialized in Diagnostic Radiology. Lara N Mrak practices in Hartford, WI and has the professional credentials of MD. The NPI Number for Lara N Mrak is 1063832608 and holds a License No. 66081 (Wisconsin).

The current practice location address for Lara N Mrak is 1032 E Sumner St, Hartford, WI and can be reached out via phone at 262-673-2300.

Location: 1032 E Sumner St, Hartford, WI, 60673-5044
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1063832608
Provider Name
Lara N Mrak
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1032 E Sumner St, Hartford, WI, 60673-5044
Phone Number
262-673-2300
Fax Number
Provider Enumeration Date
04/22/2014
Last Update Date
07/20/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100047720 05 WI
institution
Provider Business Practice Location Address Details
Address
1032 E Sumner St
City
Hartford
State
Wisconsin
Zip
53027-1608
Phone Number
262-673-2300
Fax Number
person
Provider Business Mailing Address Details
Address
1032 E Sumner St
City
Hartford
State
Wisconsin
Zip
53027-1608
Phone Number
262-673-2300
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
66081 - 20 (Wisconsin)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Vascular & Interventional Radiology
Taxonomy
2085R0204X
License No.
66081 (Wisconsin)
Definition
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
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