Provider Demographics
NPI:1063563740
Name:HENRY, LANA PIKUS (MD)
Entity type:Individual
Prefix:DR
First Name:LANA
Middle Name:PIKUS
Last Name:HENRY
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:100 LANCASTER AVE, LANKENAU HOSPITAL
Mailing Address - Street 2:RADIOLOGY ASSOCIATES OF THE MAIN LINE PC
Mailing Address - City:WYNNEWOOD
Mailing Address - State:PA
Mailing Address - Zip Code:19010
Mailing Address - Country:US
Mailing Address - Phone:484-337-3982
Mailing Address - Fax:610-429-9048
Practice Address - Street 1:100 LANCASTER AVE, LANKENAU HOSPITAL
Practice Address - Street 2:RADIOLOGY ASSOCIATES OF THE MAIN LINE PC
Practice Address - City:WYNNEWOOD
Practice Address - State:PA
Practice Address - Zip Code:19010
Practice Address - Country:US
Practice Address - Phone:484-337-3982
Practice Address - Fax:610-429-9048
Is Sole Proprietor?:No
Enumeration Date:2007-01-16
Last Update Date:2011-06-10
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Provider Licenses
StateLicense IDTaxonomies
PAMD4394902085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology