Provider Demographics
NPI:1841800463
Name:LAHR, DANIEL P (RT (R)(CT)(MR))
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:P
Last Name:LAHR
Suffix:
Gender:M
Credentials:RT (R)(CT)(MR)
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Mailing Address - Street 1:2306 40TH AVE S
Mailing Address - Street 2:
Mailing Address - City:SAINT CLOUD
Mailing Address - State:MN
Mailing Address - Zip Code:56301-9803
Mailing Address - Country:US
Mailing Address - Phone:320-248-6061
Mailing Address - Fax:
Practice Address - Street 1:ST CLOUD VA HEALTH CARE SYSTEM
Practice Address - Street 2:4801 VETERANS DRIVE
Practice Address - City:ST CLOUD
Practice Address - State:MN
Practice Address - Zip Code:56303
Practice Address - Country:US
Practice Address - Phone:320-248-6061
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-07
Last Update Date:2020-08-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MN4882682471M1202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
No2471M1202XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistMagnetic Resonance ImagingGroup - Multi-Specialty