Larry M. Dietrich in Lakeland - Diagnostic Radiology
Larry M. Dietrich - NPI 1528059060
Larry M. Dietrich is a Diagnostic Radiology in Lakeland, Florida. Larry M. Dietrich practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Larry M. Dietrich is 1528059060. The last update date is 2007-08-16.
Larry M. Dietrich's current location address is Po Box 90609, Lakeland, Florida. You can contact this provider via phone number 8636882334 and fax number 8635770299. The mailing address for Larry M. Dietrich is Po Box 90609, Lakeland, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Larry M. Dietrich |
|---|---|
| Address | Po Box 90609, Lakeland, Florida |
| Phone Number | 8636882334 |
| Fax Number | 8635770299 |
| Sole Proprietor | N |
| Credentials | M. D. |
NPI Number Detail
| NPI Number | 1528059060 |
|---|---|
| Provider Enumeration Date | 2005-11-03 |
| Last Updated Date | 2007-08-16 |
Provider Mailing Address Detail
| Address | Po Box 90609 |
|---|---|
| City | Lakeland |
| State | Florida (FL) |
| Post Code | 338040609 |
| Phone Number | 8636882334 |
| Fax Number | 8635770299 |
Provider's Primary Taxonomy Detail
| Speciality | Diagnostic Radiology |
|---|---|
| Taxonomy | 2085R0202X |
| Licence No | ME45728 |
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Definition: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 53827 | FL | BCBS | |
| 42394700 | FL | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Larry M. Dietrich by the Centers for Medicare & Medicaid Services?
The Larry M. Dietrich has been issued the NPI (National Provider Identifier) 1528059060. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Larry M. Dietrich?
The Larry M. Dietrich is situated at Po Box 90609, in the city of Lakeland, state of FL, with the zip code 338040609.
What is Larry M. Dietrich's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Larry M. Dietrich is Diagnostic Radiology, and the taxonomy classification code that categorizes this area of expertise is 2085R0202X.
On what date did the Centers for Medicare & Medicaid Services assign the 1528059060 to Larry M. Dietrich?
The Centers for Medicare & Medicaid Services assigned the 1528059060 to Larry M. Dietrich on 2005-11-03.
As of what date were the Larry M. Dietrich's details last updated?
The information pertaining to the Larry M. Dietrich, including its address, specialty, and other details, was most recently updated on 2007-08-16.
NPI Number: 1376546309
Address: 1498 Se Tech Center Pl Ste 240, Vancouver, WA