Individual provider · Type 1 NPI

Benjamin D. Lack, MD

Diagnostic Radiology Physician · Dearborn, MI

NPI number 1740592146 Active

Practice location

840 Oakwood Blvd
Dearborn, MI 48124-2319

Call (313) 359-7600 Map

Fax (313) 359-7678

Mailing address

PO Box 2802
Dearborn, MI 48123-2929

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician Primary 2085R0202X4301097276 (MI)

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 1740592146

Benjamin D. Lack, MD's National Provider Identifier is 1740592146, issued on Jul 14, 2010. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Dearborn, MI. The record was last updated on Aug 22, 2016.