NPI 1265588479

Lorene Ann van Dam, DPM

Practitioner Foot Surgery Podiatrist Springfield, MO

Practice location

Address: 4870 W Kingsbury St, Springfield, MO 65802-7710
Phone: (417) 299-7602

Registered specialties

Foot Surgery Podiatrist Primary

Podiatric Medicine & Surgery Service Providers Taxonomy 213ES0131X Licence 686 (MO)

Other Podiatrist providers in Missouri →

Registry record

NPI: 1265588479
Entity type: Individual
Sex (as registered): Female
NPI issued: 28 Jan 2007
Record last updated: 10 Jun 2010

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.