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Lake Medical Imaging And Breast Center At The Villages Llc
Diagnostic Radiology Physician in Leesburg, Florida
NPI 1770541633

Lake Medical Imaging And Breast Center At The Villages Llc is a Diagnostic Radiology Physician based in Leesburg, FL and is specialized in Diagnostic Radiology. Lake Medical Imaging And Breast Center At The Villages Llc practices in Leesburg, FL. The NPI Number for Lake Medical Imaging And Breast Center At The Villages Llc is 1770541633 and holds a License No. (Florida).

The current practice location address for Lake Medical Imaging And Breast Center At The Villages Llc is 801 E Dixie Ave Ste 104, Leesburg, FL and can be reached out via phone at 352-787-5858 and via fax at 352-787-4655.

Location: 801 E Dixie Ave Ste 104, Leesburg, FL, 34748-5285
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1770541633
Provider Name
Lake Medical Imaging And Breast Center At The Villages Llc
Credential
Provider Entity Type
Organization
Address
801 E Dixie Ave Ste 104, Leesburg, FL, 34748-5285
Phone Number
352-787-5858
Fax Number
352-787-4655
Provider Enumeration Date
05/02/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
101183202 05 FL
institution
Provider Business Practice Location Address Details
Address
801 E Dixie Ave Ste 104
City
Leesburg
State
Florida
Zip
34748-7601
Phone Number
352-787-5858
Fax Number
352-787-4655
person
Provider Business Mailing Address Details
Address
801 E Dixie Ave Ste 104
City
Leesburg
State
Florida
Zip
34748-7601
Phone Number
352-787-5858
Fax Number
352-787-4655
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
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Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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