NPI 1023076874

Ladd Daniel Lake, MD

Practitioner Diagnostic Radiology Physician North Platte, NE

Practice location

Address: 601 W Leota St, North Platte, NE 69101-6525
Phone: (308) 696-7491
Fax: (308) 696-7432
Mailing address: PO Box 362, North Platte, NE 69103-0362

Registered specialties

Diagnostic Radiology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2085R0202X Licence 22147 (NE)

Other Radiology providers in Nebraska →

Registry record

NPI: 1023076874
Entity type: Individual
Sex (as registered): Male
NPI issued: 2 May 2006
Record last updated: 31 May 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.