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Dr. Lawrence Bruce Iken, DPM
Podiatrist in Ellisville, Missouri
NPI 1972614451

Lawrence Bruce Iken is a Podiatrist based in Ellisville, MO. Lawrence Bruce Iken practices in Ellisville, MO and has the professional credentials of DPM. The NPI Number for Lawrence Bruce Iken is 1972614451 and holds a License No. 360 (Missouri).

The current practice location address for Lawrence Bruce Iken is 15410 Manchester Rd, Ellisville, MO and can be reached out via phone at 636-227-6477 and via fax at 636-227-6477.

Location: 15410 Manchester Rd, Ellisville, MO, 63011-3029
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1972614451
Provider Name
Lawrence Bruce Iken
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
15410 Manchester Rd, Ellisville, MO, 63011-3029
Phone Number
636-227-6477
Fax Number
636-227-6477
Provider Enumeration Date
08/31/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1972614451 05 MO
300900511 05 MO
P01144931 01 IL RAILROAD MEDICARE
P01302987 01 MO RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
15410 Manchester Rd
City
Ellisville
State
Missouri
Zip
63011-3029
Phone Number
636-227-6477
Fax Number
636-227-6477
person
Provider Business Mailing Address Details
Address
15410 Manchester Rd
City
Ellisville
State
Missouri
Zip
63011-3029
Phone Number
636-227-6477
Fax Number
636-227-6477
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
-
Taxonomy
213E00000X
License No.
360 (Missouri)
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
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