Lake Podiatry, P.a.

NPI #1093947111 in Plymouth, New Hampshire

Provider Information

NPI Number: 1093947111
Entity Type: Organization
Organization Name: Lake Podiatry, P.a.
Primary Specialty: Podiatrist
Enumeration Date: Aug 24, 2009
Last Updated: Feb 10, 2016

Practice Location

Address: 144 HIGHLAND ST
City: Plymouth
State: New Hampshire
ZIP Code: 03264-1240
Phone: (603) 536-4563

Authorized Official

Name: MATTHEW L BURRELL, D.P.M.
Title: OWNER/PRESIDENT
Phone: (603) 536-4563

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist	213E00000X	Primary

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