Lakeside Foot Clinic, PC
NPI #1184884777 in Cornelius, North Carolina
Provider Information
- NPI Number
- 1184884777
- Entity Type
- Organization
- Organization Name
- Lakeside Foot Clinic, PC
- Primary Specialty
- Podiatrist
- Enumeration Date
- Jun 17, 2008
- Last Updated
- Mar 23, 2015
Practice Location
- Address
- 19453 W CATAWBA AVE STE A
- City
- Cornelius
- State
- North Carolina
- ZIP Code
- 28031-4022
- Phone
- (704) 892-3399
Authorized Official
- Name
- DR. JOHN MICHAEL SHIMKO, DPM
- Title
- SOLE PROPRIETOR
- Phone
- (704) 892-3399
Specialties & Taxonomy Codes
| Specialty |
|---|
| Podiatrist |
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