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LAURANCE ISAAC LEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
7505 WATERS AVE, SUITE C8, SAVANNAH, GA 31406-3825
(912) 352-2606
(912) 352-0623
Mailing address
7505 WATERS AVE, SUITE C8, SAVANNAH, GA 31406-3825
(912) 352-2606
(912) 352-0623

Taxonomy

Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
043684
GA
2085N0700X
Neuroradiology Physician
043684
GA
2085N0904X
Nuclear Radiology Physician
043684
GA
2085P0229X
Pediatric Radiology Physician
043684
GA
2085R0202X
Diagnostic Radiology Physician
Primary
043684
GA
2085R0204X
Vascular & Interventional Radiology Physician
043684
GA
2085U0001X
Diagnostic Ultrasound Physician
043684
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00747887A
GA
05
02493070
NY
01
650826
BLUE CROSS
GA
05
G43684
SC
01
P00335320
RR MCARE FOR SAVANNAH CHATHAM IMAGING
GA
01
P00866844
RR MCARE FOR OUTPATIENT IMAGING SERVICES
GA
Enumeration date
09/09/2005
Last updated
10/24/2013
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