Lake Podiatry, PC
NPI #1063449346 in South Haven, Michigan
Provider Information
- NPI Number
- 1063449346
- Entity Type
- Organization
- Organization Name
- Lake Podiatry, PC
- Primary Specialty
- Podiatrist - Foot & Ankle Surgery
- Enumeration Date
- Jun 26, 2006
- Last Updated
- May 29, 2009
Practice Location
- Address
- 10570 BLUE STAR M HWY
- City
- South Haven
- State
- Michigan
- ZIP Code
- 49090-8923
- Phone
- (269) 978-3385
Authorized Official
- Name
- RAZIUDDIN AHMED, DPM
- Title
- PRESIDENT & CEO
- Phone
- (818) 518-6768
Specialties & Taxonomy Codes
| Specialty |
|---|
| Podiatrist - Foot & Ankle Surgery — Foot & Ankle Surgery |
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