Lawrence R Dardick MD Prof Corp

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

License

8735 Issued in NV

Legal business name

LAWRENCE R DARDICK MD PROF CORP

Practice address

3267 Kingfisher Dr
Reno, NV 89509-3989

Phone

(775) 828-9729

Fax

(775) 825-0389

NPI assigned

Feb 5, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Doresa Banning

Title

Credentialing

Phone

(775) 828-9729

Specialties & licenses 1

Addresses

Other names 1

• MOUNTAIN RADIATION ONCOLOGY Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1202169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488412800000",
    "number": "1689852337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3267 KINGFISHER DR",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895093989",
            "telephone_number": "775-828-9729",
            "fax_number": "775-825-0389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3267 KINGFISHER DR",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895093989",
            "telephone_number": "775-828-9729",
            "fax_number": "775-825-0389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAWRENCE R DARDICK MD PROF CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-05",
        "last_updated": "2017-03-02",
        "status": "A",
        "authorized_official_last_name": "BANNING",
        "authorized_official_first_name": "DORESA",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "775-828-9729"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": "NV",
            "license": "8735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MOUNTAIN RADIATION ONCOLOGY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Thomas Charles Lavin, MFT, LCADC
• Anne P Lavoy
• Denise Law, MFT
• Michelle Law, APRN
• Brian Keith Lawhorn
• Lawrence R. Davis
• Ingrid H Lawrence
• Kelly Michael Lawrence, MD
• Margaret Lawrence
• Rhonda Marie Lawrence, MFT

• Radiation Oncology Physician in Reno, NV
• Providers in Reno, NV by specialty
• Radiation Oncology Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.