HELP US COMPILE LMNA MEDICAL PROVIDER INFORMATION

lmna medical provider information

Please send your responses to the questions below, via email to info@lmnacardiac.org.
We suggest that you copy the questions, paste them and provide responses after each question.

Your email address will be kept confidential and will not appear in the document that we are putting together. And, of course, we will not be sharing your email address or contact information with anyone.

Here is the information that we are seeking:
1. Physician/provider name, city and state (if within USA) or city and country (international)
2. Physician/provider type (cardiologist, electrophysiologist, etc.)
3. Hospital, Organization, or Group Name
4. Contact info
5. Would you recommend this physician/provider to others in our LMNA group?

Thank you for your input.

Your email will be responded to with a simple confirmation of receipt, and no other email will be going to you as a result of this survey.
If you have questions or comments about the survey process, this list, or any of the listing, please email to info@lmnacardiac.org

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