Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Benjamin D Lack, MD

Individual provider Diagnostic Radiology Physician · NPI 1740592146

Benjamin D Lack, MD is a Diagnostic Radiology in Dearborn, Michigan. Graduated from Duke University School of Medicine in 2010, 16 years ago. Practices with Henry Ford Health System, a 2,540-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
16
Trained at
Duke University School of Medicine
Licensed in
MI
In the registry since
2010
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

840 Oakwood Blvd
Dearborn, MI 48124-2319
Phone: (313) 359-7600
Fax: (313) 359-7678
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 4301097276 (MI)

Record details

NPI number1740592146
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 14, 2010
Last updated in NPPESAugust 22, 2016
Mailing addressPo Box 2802, Dearborn, MI 48123-2929

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolDUKE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2010 (16 years in practice)
Group practice Henry Ford Health System — 2540 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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