Individual provider · Type 1 NPI
Eric Jay Lullove, D.P.M.
Foot & Ankle Surgery Podiatrist · Coconut Creek, FL
NPI number
1104811744
Active
Practice location
4855 W Hillsboro Blvd, Ste B6
Coconut Creek, FL 33073-4356
Fax (561) 989-9781
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | PO 3133 (FL) |
Foot & Ankle Surgery Podiatrist: Definition to come...
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Other foot & ankle surgery podiatrist providers in Coconut Creek
About NPI 1104811744
Eric Jay Lullove, D.P.M.'s National Provider Identifier is 1104811744, issued on Sep 20, 2005. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Coconut Creek, FL. The record was last updated on Jul 30, 2017.