LASER PODIATRY ASSOCIATES LLC NPI 1386943561

NPI Information

NPI: 1386943561
Provider Name: LASER PODIATRY ASSOCIATES, LLC
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
182 THOMAS JOHNSON DR STE 204
FREDERICK, MD
ZIP 21702
Phone: (301) 695-9669
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LASER PODIATRY ASSOCIATES, LLC is a foot and ankle surgery podiatrist in Frederick, MD. LASER PODIATRY ASSOCIATES, LLC NPI is 1386943561. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

182 THOMAS JOHNSON DR STE 204
FREDERICK, MD
ZIP 21702-557
Phone: (301) 695-9669
Fax: (301) 695-0346

The provider's authorized official is Jennifer E Mullendore .
The authorized official title is Owner and has the following contact phone number (301) 695-9669.

The enumeration date for this NPI number is 3/27/2011 and was last updated on 12/23/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	213ES0103X	Podiatrist	Foot & Ankle Surgery			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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