Provider First Line Business Practice Location Address:
1000 EAST CHERRY STREET
Provider Second Line Business Practice Location Address:
LINCOLN COUNTY MEDICAL CENTER DEPT OF RADIOLOGY
Provider Business Practice Location Address City Name:
TROY
Provider Business Practice Location Address State Name:
MO
Provider Business Practice Location Address Postal Code:
63379
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
636-528-3348
Provider Business Practice Location Address Fax Number:
636-528-5431
Provider Enumeration Date:
10/18/2006