| NPI | 1619484615 |
|---|---|
| Doing Business As | LAKE POINTE FOOT AND ANKLE |
| Entity Type | Organization |
| Authorized Contact | MARTIN VAN SLOAN Owner 325-695-1890 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Additional Taxonomies | 213E00000X Podiatrist |
| Enumeration Date | 2017-12-29 |
| Last Update Date | 2018-02-19 |