Organization
LAKEWOOD RANCH IMAGING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DIANE BYNUM (DIRECTOR)
(941) 782-3050
Entity
Organization
Contact information
Practice address
8330 LAKEWOOD RANCH BLVD, BRADENTON, FL 34202-5174
(941) 782-3050
Mailing address
PO BOX 409956, ATLANTA, GA 30384-9956
(941) 782-3050
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
Primary
—
—
Other
Enumeration date
08/14/2006
Last updated
08/17/2007
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