Lawrence B. Iken,dpm,llc

NPI #1487898615 in Manchester, Missouri

Provider Information

NPI Number: 1487898615
Entity Type: Organization
Organization Name: Lawrence B. Iken,dpm,llc
Primary Specialty: Podiatrist
Enumeration Date: May 1, 2009
Last Updated: May 1, 2009

Practice Location

Address: 14615 MANCHESTER RD
Address 2: 101
City: Manchester
State: Missouri
ZIP Code: 63011-3790
Phone: (636) 227-6477

Authorized Official

Name: DR. LAWRENCE B IKEN, DPM
Title: OWNER
Phone: (636) 227-6477

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist	213E00000X	Primary

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