NPI | 1487898615 |
---|---|
Doing Business As | DR. LAWRENCE B. IKEN |
Entity Type | Organization |
Authorized Contact | LAWRENCE B IKEN Owner 636-227-6477 |
Organization Subpart ? | No |
Primary Taxonomy | 213E00000X Podiatrist (Licence: MO 360) |
Enumeration Date | 2009-05-01 |
Last Update Date | 2009-05-01 |