| NPI | 1871663385 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI E LARUE Owner 302-478-8099 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: DE e-10000088) |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2007-09-28 |