Organization
LITTLE LIFE IMAGING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TRACY KIM LABERGE SONOGRAPHER (MANAGING PARTNER)
(407) 892-1059
Entity
Organization
Contact information
Practice address
213 S DILLARD ST, WINTER GARDEN, FL 34787-3596
(407) 892-1059
Mailing address
213 S DILLARD ST, WINTER GARDEN, FL 34787-3596
(407) 892-1059
Taxonomy
Speciality
Code
Description
License number
State
2085U0001X
Diagnostic Ultrasound Physician
Primary
—
—
Other
Enumeration date
12/05/2012
Last updated
12/05/2012
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