Whalio Doctors

NPI 1811375082

Benjamin N Lacrosse, MD

Practitioner Diagnostic Radiology Physician Norfolk, NE

Practice location

Address
3901 W Norfolk Ave STE R, Norfolk, NE 68701-4405
Phone
(605) 665-7841
Mailing address
1104 W 8th St, Yankton, SD 57078-3306

Registered specialties (4)

Diagnostic Radiology Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 2085R0202X Licence 30932 (NE)
Diagnostic Radiology Physician
Allopathic & Osteopathic Physicians Taxonomy 2085R0202X Licence 125.067240 (IL)
General Practice Physician
Allopathic & Osteopathic Physicians Taxonomy 208D00000X Licence 125.067240 (IL)
Student in an Organized Health Care Education/Training Program
Student, Health Care Taxonomy 390200000X

Registry record

NPI
1811375082
Entity type
Individual
Sex (as registered)
Male
NPI issued
8 May 2015
Record last updated
3 Jun 2022

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.