Organization · Type 2 NPI
Lake Region Family Foot & Ankle Center
Foot & Ankle Surgery Podiatrist · Windham, ME
NPI number
1255339446
Active
Practice location
211 Tandberg Trl
Windham, ME 04062-5100
Fax (207) 893-0190
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | POD221 (ME) |
Foot & Ankle Surgery Podiatrist: Definition to come...
Another provider at this address
About NPI 1255339446
Lake Region Family Foot & Ankle Center's National Provider Identifier is 1255339446, issued on Jul 12, 2005. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Windham, ME. The record was last updated on Aug 4, 2011.