| NPI | 1205345485 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARION SHAUN LUND Owner / Physician 662-234-3668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0131X Podiatrist, Foot Surgery (Licence: MS 80222) |
| Enumeration Date | 2017-09-20 |
| Last Update Date | 2022-09-27 |