| NPI | 1841727195 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS ANTHONY LALIOS President 219-808-0479 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: IN 07000734A) |
| Enumeration Date | 2017-05-17 |
| Last Update Date | 2017-05-17 |