NPI 1093947111
Lake Podiatry, P.A.
Practice location
- Address
- 144 Highland St, Plymouth, NH 03264-1240
- Phone
- (603) 536-4563
- Fax
- (603) 536-1056
Authorised official
- Name
- Matthew L Burrell
- Title
- Owner/President
- Phone
- (603) 536-4563
Registered specialties
Podiatrist
Primary
Registry record
- NPI
- 1093947111
- Entity type
- Organization
- NPI issued
- 24 Aug 2009
- Record last updated
- 10 Feb 2016
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.