Lynn Raoul Dale, M.D.
Radiology, Diagnostic Radiology in Mattoon, IL. Individual provider (NPI-1).
NPI number1760477004
StatusActive
Last updated in NPPESOct 3, 2013
Details
- NPI
- 1760477004
- Entity type
- Individual (NPI-1)
- Name
- Lynn Raoul Dale
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 13, 2005
- Last updated
- Oct 3, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2085R0202X | Radiology, Diagnostic Radiology | 036044263 | IL | Yes |
Practice location
1000 Health Center DrMattoon, IL 61938-9253
Phone 217-258-2141 · Fax 217-528-2336
Mailing address
1000 Health Center DrMattoon, IL 61938-9253
Phone 217-258-2141 · Fax 217-528-2336
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