Individual provider · Type 1 NPI
Ladd Daniel Lake, MD
Diagnostic Radiology Physician · North Platte, NE
NPI number
1023076874
Active
Practice location
601 W Leota St
North Platte, NE 69101-6525
Fax (308) 696-7432
Mailing address
PO Box 362
North Platte, NE 69103-0362
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Diagnostic Radiology Physician Primary | 2085R0202X | 22147 (NE) |
Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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About NPI 1023076874
Ladd Daniel Lake, MD's National Provider Identifier is 1023076874, issued on May 2, 2006. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in North Platte, NE. The record was last updated on May 31, 2016.