Organization
WALNUT BOTTOM RADIOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONALD LOZIER (MANAGER)
(814) 643-6207
Entity
Organization
Contact information
Practice address
850 WALNUT BOTTOM RD, CARLISLE, PA 17013-3632
(717) 245-0071
(717) 245-0180
Mailing address
850 WALNUT BOTTOM RD, CARLISLE, PA 17013-3632
(717) 245-0071
(717) 245-0180
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
145607
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010634900003
—
PA
Enumeration date
04/05/2006
Last updated
06/05/2015
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