Organization · Type 2 NPI
Loft Soles Podiatry LLC
Sports Medicine Podiatrist · Glen Burnie, MD
NPI number
1396100905
Active
Practice location
7671 Quarterfield Rd Ste 302
Glen Burnie, MD 21061-4525
Fax (410) 768-0075
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Sports Medicine Podiatrist Primary | 213ES0000X | 01510 (MD) |
Sports Medicine Podiatrist: Definition to come...
About NPI 1396100905
Loft Soles Podiatry LLC's National Provider Identifier is 1396100905, issued on Dec 24, 2015. The primary taxonomy on file is Sports Medicine Podiatrist (213ES0000X), and the practice location is in Glen Burnie, MD. The record was last updated on Mar 15, 2016.