| NPI | 1417047796 |
|---|---|
| Doing Business As | PET IMAGING AT THE LAKE |
| Entity Type | Organization |
| Authorized Contact | LUKE STEVEN BUJENOVIC Medical Director 225-769-9797 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207U00000X Nuclear Medicine |
| Enumeration Date | 2006-10-14 |
| Last Update Date | 2011-04-21 |