Margaret Stevens

 
 Margaret Stevens DOB: 1985-03-28 (20 yo M) Acc No. CR162734 
 [Doc Name: 2022-04-10 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: Margaret Stevens 
 PATIENT ID: 8283873 
 REFERRING PHYSICIAN: AMY WU, PA-C 
 DOB: 
 1985-03-28 
 REFERRING PHONE: 
 DOS: 
 2021-06-19 
 REFERRING FAX: 
 EXAMINATION: MRI LUMBAR SPINE WITHOUT CONTRAST 
 GEORGE VEGA, MD 
 Electronically signed on: 2019-11-26 9:10:40 AM 
 Transcribed by: JN on: 2019-11-26 7:12:17 AM 
 L3-51 
 Page 2 of 2 
 Margaret Stevens DOB: 1985-03-28 (20 yo M) Acc No. CR162734 
