| NPI | 1578905550 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOAN LAM VON DER LANCKEN CEO 239-331-7144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: FL PO3302) |
| Enumeration Date | 2013-07-19 |
| Last Update Date | 2013-07-19 |