Leeds Podiatry LLC

NPI #1487063731 in Leeds, Alabama

Provider Information

NPI Number: 1487063731
Entity Type: Organization
Organization Name: Leeds Podiatry LLC
Primary Specialty: Podiatrist
Enumeration Date: Aug 11, 2014
Last Updated: Aug 11, 2014

Practice Location

Address: 1628 9TH ST
Address 2: STE 112
City: Leeds
State: Alabama
ZIP Code: 35094-4140
Phone: (205) 623-0169

Authorized Official

Name: DR. LISA ALEXANDRA PANTHEL, DPM
Title: OWNER/SOLE MEMBER
Phone: (205) 623-0169

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist	213E00000X	Primary

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