NPI | 1477739654 |
---|---|
Doing Business As | LAKE RIDE PODIATRY |
Entity Type | Organization |
Authorized Contact | GERARD J RANIERI Sole Proprietor 703-491-2603 |
Organization Subpart ? | Yes |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2008-01-17 |
Last Update Date | 2008-06-16 |