Organization
LAKES REGION RADIOLOGY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES BRONSON MD (TREASURER)
(603) 524-3211
Entity
Organization
Contact information
Practice address
87 SPRING ST, UNIT 101, LACONIA, NH 03246
(603) 524-3211
(603) 524-0089
Mailing address
87 SPRING ST, UNIT 101, LACONIA, NH 03246
(603) 524-3211
(603) 524-0089
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01Y005437NH01
ANTHEM
NH
05
—
41303199
—
NH
Enumeration date
07/26/2006
Last updated
01/21/2020
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