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1528059060
LARRY M. DIETRICH
LAKELAND, FL
NPI
1528059060
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: FL ME45728)
Enumeration Date
2005-11-03
Last Update Date
2007-08-16
Business Address
Dr. LARRY M. DIETRICH M. D.
1305 LAKELAND HILLS BLVD
LAKELAND, FL 33805-4542
Phone number: 863-688-2334
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Mailing Address
Dr. LARRY M. DIETRICH M. D.
PO BOX 90609
LAKELAND, FL 33804-0609
Phone number: 863-688-2334
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