| NPI | 1366648552 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI L. LEWIS Owner 856-848-7700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: NJ 25MD00189700) |
| Enumeration Date | 2007-06-25 |
| Last Update Date | 2008-04-22 |