| NPI | 1376506345 |
|---|---|
| Former Legal Business Name | LAUREL LAKES FOOT AND ANKLE CENTER |
| Entity Type | Organization |
| Authorized Contact | SCOTT W NUTTER President 301-317-6800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: MD P14048) |
| Enumeration Date | 2006-04-10 |
| Last Update Date | 2010-04-27 |