Ratana Laurie
Individual provider Active NPI Magnetic Resonance Imaging Radiologic Technologist · Lakeland, TN
NPI 1831712702 · NPPES record last updated May 26, 2020
Key facts
- NPI
- 1831712702
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Magnetic Resonance Imaging Radiologic Technologist 2471M1202X
- License
- 454308 (TN)
- Practice address
- 3213 Creekwood LN
Lakeland, TN 38002-8226 - Phone
- (253) 226-9793
- NPI assigned
- May 26, 2020
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 454308 | TN | MD | Magnetic Resonance Imaging Radiologic Technologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Magnetic Resonance Imaging Radiologic Technologist | 2471M1202X | 454308 | TN | Yes |
Addresses
Primary practice location
3213 Creekwood LN
Lakeland, TN 38002-8226
Mailing address
3213 Creekwood LN
Lakeland, TN 38002-8226
Phone (253) 226-9793
Other providers in Lakeland, TN
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- Lisa Rowland Kenny
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- Lakeland Pediatrics PLLC
- Leader Physical Therapy Limited Partnership
- Marsha V Lee
- Joseph Matthew Li
- Mark Gordon Lingerfelt
- Luisa P Long
All providers in Lakeland, TN · Magnetic Resonance Imaging Radiologic Technologist in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 26, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.