Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 1993
NPI: 1053405381
Practice Locations (1)
LAKE MEDICAL IMAGING AND BREAST CENTER AT THE VILLAGES LLC
801 E DIXIE AVE, SUITE 104
LEESBURG, FL 347487601
3527875858
Source: CMS National Downloadable File, September 2026.