institution
Ankle And Foot Clinic Of Lakewood, Pllc
Foot & Ankle Surgery Podiatrist in University Place, Washington
NPI 1275726291

Ankle And Foot Clinic Of Lakewood, Pllc is a Foot & Ankle Surgery Podiatrist based in University Place, WA and is specialized in Foot & Ankle Surgery. Ankle And Foot Clinic Of Lakewood, Pllc practices in University Place, WA. The NPI Number for Ankle And Foot Clinic Of Lakewood, Pllc is 1275726291 and holds a License No. PO00000302 (Washington).

The current practice location address for Ankle And Foot Clinic Of Lakewood, Pllc is 5225 Cirque Dr W, University Place, WA and can be reached out via phone at 253-474-4353 and via fax at 253-474-5850.

Location: 5225 Cirque Dr W, University Place, WA, 98467-3604
institution
Provider Profile Details
NPI Number
1275726291
Provider Name
Ankle And Foot Clinic Of Lakewood, Pllc
Credential
Provider Entity Type
Organization
Address
5225 Cirque Dr W, University Place, WA, 98467-3604
Phone Number
253-474-4353
Fax Number
253-474-5850
Provider Enumeration Date
08/22/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
GAB 18873 01 WA MEDICARE GROUP NUMBER
institution
Provider Business Practice Location Address Details
Address
5225 Cirque Dr W
City
State
Zip
98467-3604
Phone Number
253-474-4353
Fax Number
253-474-5850
person
Provider Business Mailing Address Details
Address
5225 Cirque Dr W
City
State
Zip
98467-3604
Phone Number
253-474-4353
Fax Number
253-474-5850
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
PO00000302 (Washington)
Definition
Definition to come...
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