| NPI | 1134459894 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOAN LAM Owner/ Physician 239-331-7144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: FL PO 3302) |
| Enumeration Date | 2009-12-31 |
| Last Update Date | 2009-12-31 |