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Mario Dante Lacerna, MD
Radiation Oncology Physician in Alpena, Michigan
NPI 1326130725

Mario Dante Lacerna is a Radiation Oncology Physician based in Ann Arbor, MI and is specialized in Radiation Oncology. Mario Dante Lacerna practices in Alpena, MI and has the professional credentials of MD. The NPI Number for Mario Dante Lacerna is 1326130725 and holds a License No. ME111595 (Michigan).

The current practice location address for Mario Dante Lacerna is 1501 W Chisholm St, Alpena, MI and can be reached out via phone at 888-356-7151.

Location: 1501 W Chisholm St, Alpena, MI, 48108-1633
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1326130725
Provider Name
Mario Dante Lacerna
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1501 W Chisholm St, Alpena, MI, 48108-1633
Phone Number
888-356-7151
Fax Number
Provider Enumeration Date
09/29/2006
Last Update Date
11/16/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4303114 05 MI
4375200 05 FL
FT108Y 01 FL MEDICARE
institution
Provider Business Practice Location Address Details
Address
1501 W Chisholm St
City
Alpena
State
Michigan
Zip
49707-1401
Phone Number
888-356-7151
Fax Number
person
Provider Business Mailing Address Details
Address
1501 W Chisholm St
City
Alpena
State
Michigan
Zip
49707-1401
Phone Number
888-356-7151
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Radiation Oncology
Taxonomy
2085R0001X
License No.
ME111595 (Florida)
Definition
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
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