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LAWRENCE R DARDICK MD PROF CORP NPI 1689852337


NPI Information

NPI: 1689852337
Provider Name: LAWRENCE R DARDICK MD PROF CORP

Doing Business As: MOUNTAIN RADIATION ONCOLOGY

Classification: Radiology - 2085R0001X
Entity Type: Organization

Specialization: Radiation Oncology

Address:
3267 KINGFISHER DR
RENO, NV
ZIP 89509
Phone: (775) 828-9729
Get Directions

LAWRENCE R DARDICK MD PROF CORP is a radiation oncology radiology in Reno, NV. The provider is a radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. LAWRENCE R DARDICK MD PROF CORP NPI is 1689852337. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Mountain Radiation Oncology.

The provider's business location address is:

3267 KINGFISHER DR
RENO, NV
ZIP 89509-989
Phone: (775) 828-9729
Fax: (775) 825-0389

The provider's authorized official is Doresa Banning .
The authorized official title is Credentialing and has the following contact phone number (775) 828-9729.

The enumeration date for this NPI number is 2/5/2008 and was last updated on 3/2/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085R0001XRadiologyRadiation Oncology8735NEVADAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1E88972MEDICARE UPINNEVADA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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