BENJAMIN N LACROSSE

NORFOLK, NE
NPI1811375082
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2085R0202X Radiology, Diagnostic Radiology
(Licence: NE  30932)
Additional Taxonomies2085R0202X Radiology, Diagnostic Radiology
(Licence: IL  125.067240)
208D00000X General Practice
(Licence: IL  125.067240)
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2015-05-08
Last Update Date2022-06-03
Business Address
BENJAMIN N LACROSSE M.D.
3901 W NORFOLK AVE STE R
NORFOLK, NE 68701-4405
Phone number: 605-665-7841
Mailing Address
BENJAMIN N LACROSSE M.D.
1104 W 8TH ST
YANKTON, SD 57078-3306
Phone number: 605-665-7841