NPI 1134786510

L.M. Demidowich PLLC

Organisation Foot & Ankle Surgery Podiatrist Prescott, AZ

Practice location

Address: 2286 Crosswind Dr STE C, Prescott, AZ 86301-6100
Phone: (973) 464-7742
Mailing address: PO Box 27077, Prescott Valley, AZ 86312-7077

Authorised official

Name: Lisa Marie Demidowich
Title: Member
Phone: (973) 464-7742

Registered specialties

Foot & Ankle Surgery Podiatrist Primary

Podiatric Medicine & Surgery Service Providers Taxonomy 213ES0103X

Other Podiatrist providers in Arizona →

Registry record

NPI: 1134786510
Entity type: Organization
NPI issued: 21 May 2019
Record last updated: 21 May 2019

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.