Provider Demographics
NPI:1093706251
Name:LANK, THOMAS B (MD)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:B
Last Name:LANK
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:122 DEFENSE HWY
Mailing Address - Street 2:CHESAPEAKE MEDICAL IMAGING
Mailing Address - City:ANNAPOLIS
Mailing Address - State:MD
Mailing Address - Zip Code:21401-7069
Mailing Address - Country:US
Mailing Address - Phone:410-571-0350
Mailing Address - Fax:410-571-9348
Practice Address - Street 1:122 DEFENSE HWY
Practice Address - Street 2:CHESAPEAKE MEDICAL IMAGING
Practice Address - City:ANNAPOLIS
Practice Address - State:MD
Practice Address - Zip Code:21401-7069
Practice Address - Country:US
Practice Address - Phone:410-571-0350
Practice Address - Fax:410-571-9348
Is Sole Proprietor?:No
Enumeration Date:2005-11-04
Last Update Date:2012-11-02
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MDD385822085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDC76180Medicare UPIN