| NPI | 1841382215 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REGINA LYNN LORELLI Manager 805-482-0711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: CA E1845) |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2010-07-27 |