| NPI | 1437561537 |
|---|---|
| Former Name | LAURA MEGORDEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: CA E5521) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: AZ 855) |
| 213E00000X Podiatrist (Licence: CA E5521) | |
| Enumeration Date | 2014-05-22 |
| Last Update Date | 2020-03-16 |