| NPI | 1417183534 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN ELLIS LIPSON Pres 703-569-2444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP1100X Clinic/Center Podiatric (Licence: VA 0103000282) |
| Enumeration Date | 2009-06-03 |
| Last Update Date | 2009-06-03 |