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Benjamin D Lack, MD
Diagnostic Radiology Physician in Dearborn, Michigan
NPI 1740592146

Benjamin D Lack is a Diagnostic Radiology Physician based in Dearborn, MI and is specialized in Diagnostic Radiology. Benjamin D Lack practices in Dearborn, MI and has the professional credentials of MD. The NPI Number for Benjamin D Lack is 1740592146 and holds a License No. 4301097276 (Michigan).

The current practice location address for Benjamin D Lack is 840 Oakwood Blvd, Dearborn, MI and can be reached out via phone at 313-359-7600 and via fax at 313-359-7678.

Location: 840 Oakwood Blvd, Dearborn, MI, 48123-2929
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1740592146
Provider Name
Benjamin D Lack
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
840 Oakwood Blvd, Dearborn, MI, 48123-2929
Phone Number
313-359-7600
Fax Number
313-359-7678
Provider Enumeration Date
07/14/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
840 Oakwood Blvd
City
Dearborn
State
Michigan
Zip
48124-2319
Phone Number
313-359-7600
Fax Number
313-359-7678
person
Provider Business Mailing Address Details
Address
840 Oakwood Blvd
City
Dearborn
State
Michigan
Zip
48124-2319
Phone Number
313-359-7600
Fax Number
313-359-7678
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
4301097276 (Michigan)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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