institution
Lake Erie Podiatry, Llc
Foot & Ankle Surgery Podiatrist in Erie, Pennsylvania
NPI 1922164409

Lake Erie Podiatry, Llc is a Foot & Ankle Surgery Podiatrist based in Erie, PA and is specialized in Foot & Ankle Surgery. Lake Erie Podiatry, Llc practices in Erie, PA. The NPI Number for Lake Erie Podiatry, Llc is 1922164409 and holds a License No. SC004630L (Pennsylvania).

The current practice location address for Lake Erie Podiatry, Llc is 3910 Caughey Rd Ste 130, Erie, PA and can be reached out via phone at 814-833-3668 and via fax at 888-329-6120. You can also correspond with Lake Erie Podiatry, Llc through the mailing address at 3910 CAUGHEY RD STE 130, ERIE, PA - 16506-4097 (mailing address contact number: 814-833-3668).

Location: 3910 Caughey Rd Ste 130, Erie, PA, 16506-4097
institution
Provider Profile Details
NPI Number
1922164409
Provider Name
Lake Erie Podiatry, Llc
Credential
Provider Entity Type
Organization
Address
3910 Caughey Rd Ste 130, Erie, PA, 16506-4097
Phone Number
814-833-3668
Fax Number
888-329-6120
Provider Enumeration Date
12/28/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
480035188 01 PA MEDICARE RRB
0019415170002 05 PA
institution
Provider Business Practice Location Address Details
Address
3910 Caughey Rd Ste 130
City
State
Zip
16506
Phone Number
814-833-3668
Fax Number
888-329-6120
person
Provider Business Mailing Address Details
Address
3910 Caughey Rd Ste 130
City
State
Zip
16506
Phone Number
814-833-3668
Fax Number
888-329-6120
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
SC004630L (Pennsylvania)
Definition
Definition to come...
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