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Organization

LAKES RADIOLOGY PLLC

Active
Parent organization
LAKES RADIOLOGY PLLC
Other names
Central Auburn Imaging LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
LAKES RADIOLOGY PLLC
Authorized official
MR. CRAIG FOSTER MD (OWNER)
(585) 944-1665
Entity
Organization

Contact information

Practice address
1626 CLARK STREET ROAD, SUITE 18, AUBURN, NY 13021
(315) 252-9462
(315) 252-9466
Mailing address
1626 CLARK STREET ROAD, SUITE 18, AUBURN, NY 13021
(315) 252-9462
(315) 252-9466

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary

Other

Enumeration date
02/20/2009
Last updated
04/12/2011
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