Lawrence Dale Mcnutt in Northridge - Body Imaging

Lawrence Dale Mcnutt - NPI 1609070846

Lawrence Dale Mcnutt is a Body Imaging in Northridge, California. Lawrence Dale Mcnutt practices all healthcare services and medical treatments related to Body Imaging. The NPI Number for Lawrence Dale Mcnutt is 1609070846. The last update date is 2014-12-05.

Lawrence Dale Mcnutt's current location address is 18436 Roscoe Blvd, Northridge, California. You can contact this provider via phone number 8184351800 and fax number 8184351490. The mailing address for Lawrence Dale Mcnutt is 18436 Roscoe Blvd, Northridge, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Lawrence Dale Mcnutt
Address 18436 Roscoe Blvd, Northridge, California
Phone Number 8184351800
Fax Number 8184351490
Sole Proprietor Y
Credentials M.D.

NPI Number Detail

NPI Number 1609070846
Provider Enumeration Date 2007-06-12
Last Updated Date 2014-12-05

Provider Mailing Address Detail

Address 18436 Roscoe Blvd
City Northridge
State California (CA)
Post Code 913254107
Phone Number 8184351800
Fax Number 8184351490

Provider's Primary Taxonomy Detail

Speciality Body Imaging
Taxonomy 2085B0100X
Licence No A83196
Definition:
A Radiology doctor of Osteopathy that specializes in Body Imaging.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
A83196 CA MEDICAL LICENSE

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FAQs about Lawrence Dale Mcnutt

What is the Lawrence Dale Mcnutt's unique identification number?

The Lawrence Dale Mcnutt has been assigned the NPI (National Provider Identifier) Number 1609070846 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you provide the complete address where Lawrence Dale Mcnutt is physically located?

The Lawrence Dale Mcnutt is situated at the following address: 18436 Roscoe Blvd, Northridge, CA 913254107.

What is Lawrence Dale Mcnutt's area of expertise and its corresponding taxonomy classification?

The Lawrence Dale Mcnutt's field of specialization is Body Imaging, and it falls under the taxonomy code 2085B0100X, which categorizes healthcare providers based on their areas of practice.

On what date did the Centers for Medicare & Medicaid Services assign the 1609070846 to Lawrence Dale Mcnutt?

The Centers for Medicare & Medicaid Services assigned the 1609070846 to Lawrence Dale Mcnutt on 2007-06-12.

As of what date was the information regarding Lawrence Dale Mcnutt, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Lawrence Dale Mcnutt, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2014-12-05.

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