institution
Deric Lords D P M A Professional Corporation
Foot & Ankle Surgery Podiatrist in Placentia, California
NPI 1275707622

Deric Lords D P M A Professional Corporation is a Foot & Ankle Surgery Podiatrist based in Placentia, CA and is specialized in Foot & Ankle Surgery. Deric Lords D P M A Professional Corporation practices in Placentia, CA. The NPI Number for Deric Lords D P M A Professional Corporation is 1275707622 and holds a License No. E2783 (California).

The current practice location address for Deric Lords D P M A Professional Corporation is 1310 N Kraemer Blvd, Placentia, CA and can be reached out via phone at 714-996-7601 and via fax at 714-996-0745.

Location: 1310 N Kraemer Blvd, Placentia, CA, 92870-3401
institution
Provider Profile Details
NPI Number
1275707622
Provider Name
Deric Lords D P M A Professional Corporation
Credential
Provider Entity Type
Organization
Address
1310 N Kraemer Blvd, Placentia, CA, 92870-3401
Phone Number
714-996-7601
Fax Number
714-996-0745
Provider Enumeration Date
04/16/2008
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
000E2783 05 CA
E2783 01 CA MEDICARE ID
institution
Provider Business Practice Location Address Details
Address
1310 N Kraemer Blvd
City
State
Zip
92870-3401
Phone Number
714-996-7601
Fax Number
714-996-0745
person
Provider Business Mailing Address Details
Address
1310 N Kraemer Blvd
City
State
Zip
92870-3401
Phone Number
714-996-7601
Fax Number
714-996-0745
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
E2783 (California)
Definition
Definition to come...
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