Modern Foot and Ankle PC
NPI #1063269454 in Santa Clarita, California
Provider Information
- NPI Number
- 1063269454
- Entity Type
- Organization
- Organization Name
- Modern Foot and Ankle PC
- Primary Specialty
- Podiatrist - Foot & Ankle Surgery
- Enumeration Date
- May 2, 2024
- Last Updated
- May 2, 2024
Practice Location
- Address
- 26235 RAVENHILL RD
- City
- Santa Clarita
- State
- California
- ZIP Code
- 91387-4046
- Phone
- (917) 687-7528
Authorized Official
- Name
- DR. ALEKSANDER V LAVRENOV, DPM
- Title
- CEO
- Phone
- (917) 687-7528
Specialties & Taxonomy Codes
| Specialty |
|---|
| Podiatrist - Foot & Ankle Surgery — Foot & Ankle Surgery |
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