Organization
LAKES REGION IMAGING, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAY M DALY M.D. (PRESIDENT)
(207) 784-2554
Entity
Organization
Contact information
Practice address
10 HOSPITAL DR, BRIDGTON, ME 04009-1148
(207) 647-8841
Mailing address
PO BOX 1849, LEWISTON, ME 04241-1849
(207) 784-2554
(207) 777-5363
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
12/29/2005
Last updated
07/16/2007
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