NPI 1972614451

Lawrence Bruce Iken, DPM

Practitioner Podiatrist Ellisville, MO

Practice location

Address: 15410 Manchester Rd, Ellisville, MO 63011-3029
Phone: (636) 227-6477
Fax: (636) 227-6477

Registered specialties (2)

Podiatrist Primary

Podiatric Medicine & Surgery Service Providers Taxonomy 213E00000X Licence 360 (MO)

Other Podiatrist providers in Missouri →

Podiatrist

Podiatric Medicine & Surgery Service Providers Taxonomy 213E00000X Licence 016002757 (IL)

Registry record

NPI: 1972614451
Entity type: Individual
Sex (as registered): Male
NPI issued: 31 Aug 2006
Record last updated: 9 Jun 2014

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.