person
Lant Jarvis Abernathy, DPM
Foot & Ankle Surgery Podiatrist in San Luis Obispo, California
NPI 1275198368

Lant Jarvis Abernathy is a Foot & Ankle Surgery Podiatrist based in Grover Beach, CA and is specialized in Foot & Ankle Surgery. Lant Jarvis Abernathy practices in San Luis Obispo, CA and has the professional credentials of DPM. The NPI Number for Lant Jarvis Abernathy is 1275198368 and holds a License No. E5955 (California).

The current practice location address for Lant Jarvis Abernathy is 862 Meinecke Ave Ste 204, San Luis Obispo, CA and can be reached out via phone at 805-540-5770 and via fax at 888-851-4755.

Location: 862 Meinecke Ave Ste 204, San Luis Obispo, CA, 93483-0759
person
Provider Profile Details
NPI Number
1275198368
Provider Name
Lant Jarvis Abernathy
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
862 Meinecke Ave Ste 204, San Luis Obispo, CA, 93483-0759
Phone Number
805-540-5770
Fax Number
888-851-4755
Provider Enumeration Date
05/05/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
E5955 01 CA CA MEDICAL LICENSE
E2424420 01 CA DRIVERS LISCENSE
institution
Provider Business Practice Location Address Details
Address
862 Meinecke Ave Ste 204
City
State
Zip
93405-3703
Phone Number
805-540-5770
Fax Number
888-851-4755
person
Provider Business Mailing Address Details
Address
862 Meinecke Ave Ste 204
City
State
Zip
93405-3703
Phone Number
805-540-5770
Fax Number
888-851-4755
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
E5955 (California)
Definition
Definition to come...
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