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LAKES AREA FOOT AND ANKLE CARE PLLC NPI 1902159437


NPI Information

NPI: 1902159437
Provider Name: LAKES AREA FOOT AND ANKLE CARE, PLLC
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
620 N PONTIAC TRL
WALLED LAKE, MI
ZIP 48390
Phone: (248) 425-8124
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LAKES AREA FOOT AND ANKLE CARE, PLLC is a foot and ankle surgery podiatrist in Walled Lake, MI. LAKES AREA FOOT AND ANKLE CARE, PLLC NPI is 1902159437. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

620 N PONTIAC TRL
WALLED LAKE, MI
ZIP 48390-448
Phone: (248) 425-8124

The provider's authorized official is Ross Feinman .
The authorized official title is Owner and has the following contact phone number (248) 425-8124.

The enumeration date for this NPI number is 10/22/2012 and was last updated on 10/22/2012.


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
1213ES0103XPodiatristFoot & Ankle Surgery5315007043MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
14856351900OTHERBCBS
2U87910MEDICARE UPINMICHIGAN
34350339-13MEDICAIDMICHIGAN
40N39150MEDICARE PINMICHIGAN

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: 5/5/2024
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