Lawrence M Fallat Dpm PC

NPI #1275617649 in Taylor, Michigan

Provider Information

NPI Number: 1275617649
Entity Type: Organization
Organization Name: Lawrence M Fallat Dpm PC
Primary Specialty: Podiatrist
Enumeration Date: Oct 24, 2006
Last Updated: May 13, 2009

Practice Location

Address: 20555 ECORSE RD
City: Taylor
State: Michigan
ZIP Code: 48180-1992
Phone: (313) 389-2288

Authorized Official

Name: LAWRENCE MICHAEL FALLAT, DPM
Title: PRESIDENT
Phone: (313) 389-2288

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist	213E00000X	Primary

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