NPI | 1205242765 |
---|---|
Former Name | LISA DOAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: CA E5372) |
Additional Taxonomies | 213E00000X Podiatrist (Licence: CA E5372) |
213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: CA E5372) | |
Enumeration Date | 2014-07-05 |
Last Update Date | 2022-07-21 |