Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Surgery, Foot & Ankle |
213ES0103X | 48 | Podiatry |
| NPI Number | 1124571096 |
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| LBN Legal business name | THE FOOT AND ANKLE CLINIC OF WEST MONROE, LLC | ||||||||||||
| Authorized official | LUKE HUNTER - (OWNER/PODIATRIC SURGEON) | ||||||||||||
| Entity | Organization | ||||||||||||
| Organization subpart 1 | Yes | ||||||||||||
| Enumeration date | 07/27/2016 | ||||||||||||
| Last updated | 05/05/2020 - About 6 years ago | ||||||||||||
| Identifiers |
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