Lori Pearson

 
 Lori Pearson DOB: 1991-08-30 (57 yo M) Acc No. CR154407 
 [Doc Name: 2017-02-03 MRI LUMBAR SPINE] 
 4933 University Blvd W 
 Jacksonville, FL32216 
 ADVANCED 
 Upright Open MRI & X-Ray 
 DIAGNOSTIC GROUP 
 High Field MRI 
 Tampa . Brandon . Lakeland . Kissimmee . Orlando . Jacksonville . Orange Park . Palm Beach Gardens - Jupiter 
 PATIENT NAME: Lori Pearson 
 PATIENT ID: 5284214 
 REFERRING PHYSICIAN: AMY WU, PA-C 
 DOB: 
 1991-08-30 
 REFERRING PHONE: 
 DOS: 
 2023-12-12 
 REFERRING FAX: 
 EXAMINATION: MRI LUMBAR SPINE WITHOUT CONTRAST 
 GEORGE VEGA, MD 
 Electronically signed on: 2023-11-25 9:10:40 AM 
 Transcribed by: JN on: 2023-11-25 7:12:17 AM 
 L3-51 
 Page 2 of 2 
 Lori Pearson DOB: 1991-08-30 (57 yo M) Acc No. CR154407 
