Organization Name: | LEBANON IMAGING ASSOCIATES, PC |
NPI Number: | 1053345652 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | STEPHEN WHITMOYER (CHAIRMAN) |
Mailing Address: | Fourth And Walnut Streets Attn: Radiology Department Lebanon |
State: | PA US |
Postal Code: | 17042 |
Phone Number: | 7172707645 |
Fax Number: | 7172707639 |
NPI Enumeration Date: | 07/10/2006 |
NPI Last Update Date: | 03/17/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085B0100X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Body Imaging |
Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Body Imaging. |