NPI | 1215476809 |
---|---|
Entity Type | Organization |
Authorized Contact | LAWRENCE E LLOYD Owner 765-642-3000 |
Organization Subpart ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: IN 07000551A) |
Enumeration Date | 2017-02-16 |
Last Update Date | 2017-02-16 |