Individual
LORI GANIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RT(R)(MR)(ARRT)
Contact information
Practice address
10000 BAY PINES BLVD NORTH, ST PETERSBURG, FL 33708
(727) 398-6661
Mailing address
4812 MIRAMAR DR UNIT 3202, MADEIRA BEACH, FL 33708-3394
(765) 461-4366
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
CRT 83953
FL
247100000X
Radiologic Technologist
R 2547649
OH
247100000X
Radiologic Technologist
XT 012010
IN
2471M1202X
Magnetic Resonance Imaging Radiologic Technologist
Primary
324317
IN
Other
Enumeration date
05/19/2016
Last updated
05/19/2016
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