NPI 1093947111 · live from the CMS NPI Registry
Lake Podiatry, P.A.
Podiatrist in Plymouth, NH. National Provider Identifier 1093947111, active.
NPI record
| NPI | 1093947111 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Podiatrist 213E00000X |
| Practice location | 144 Highland St, Plymouth, NH 03264 |
| Practice phone | 603-536-4563 |
| Enumerated | August 24, 2009 |
| Last updated | February 10, 2016 |
| Authorized official | Matthew Burrell, Owner/President |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist primary | 213E00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.