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Organization
LGR IMAGING, PC
Active
Organization
LGR IMAGING, PC
Active
Other names
PHYSICIANS IMAGING, PC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAWRENCE G RAND MD (PRESIDENT)
(716) 677-4161
Entity
Organization
Contact information
Practice address
4154 SENECA STREET, WEST SENECA, NY 14224-3053
(716) 677-0500
(716) 677-1800
Mailing address
950A UNION RD, SUITE 424, WEST SENECA, NY 14224-3481
(716) 677-4162
(716) 677-4163
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
134789
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00030041901
UNIVERA
NY
01
—
000515012006
BLUE CROSS & BLUE SHIED OF WNY
NY
01
—
000515012007
BLUE CROSS & BLUE SHIELD OF WNY
NY
01
—
000515012008
BLUE CROSS & BLUE SHIELD OF WNY
—
05
—
02271878
—
NY
01
—
5607927
INDEPENDENT HEALTH
NY
Enumeration date
03/05/2008
Last updated
09/07/2011
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