NPI | 1043409501 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN C LAWLOR Owner 239-481-7000 |
Organization Subpart ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: FL PO3145) |
Enumeration Date | 2007-10-22 |
Last Update Date | 2008-02-07 |