Individual provider · Type 1 NPI
Larry John Biederman, D.P.M.
Foot & Ankle Surgery Podiatrist · Lake Arrowhead, CA
NPI number
1952642100
Active
Practice location
859 Sandalwood Dr
Lake Arrowhead, CA 92352
Fax (909) 522-4307
Mailing address
PO Box 2233
Blue Jay, CA 92317-2233
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | E1966 (CA) |
Foot & Ankle Surgery Podiatrist: Definition to come...
About NPI 1952642100
Larry John Biederman, D.P.M.'s National Provider Identifier is 1952642100, issued on Mar 13, 2013. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Lake Arrowhead, CA. The record was last updated on Mar 13, 2013.