Jla Senior Footcare Nm LLC
NPI #1659688380 in Lovington, New Mexico
Provider Information
- NPI Number
- 1659688380
- Entity Type
- Organization
- Organization Name
- Jla Senior Footcare Nm LLC
- Primary Specialty
- Podiatrist - Foot Surgery
- Enumeration Date
- Sep 1, 2010
- Last Updated
- Sep 1, 2010
Practice Location
- Address
- 1600 W AVE I
- City
- Lovington
- State
- New Mexico
- ZIP Code
- 88260-5002
- Phone
- (575) 396-5212
Authorized Official
- Name
- ANTHONY INNOCENZI
- Title
- OWNER
- Phone
- (330) 702-0978
Specialties & Taxonomy Codes
| Specialty |
|---|
| Podiatrist - Foot Surgery — Foot Surgery |
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