Lawrence A Short Dpm Ltd in Lake Bluff - Podiatrist

Lawrence A Short Dpm Ltd - NPI 1669513982

Lawrence A Short Dpm Ltd is a Podiatrist in Lake Bluff, Illinois. Lawrence A Short Dpm Ltd practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Lawrence A Short Dpm Ltd is 1669513982. The last update date is 2009-03-26.

Lawrence A Short Dpm Ltd's current location address is 71 Waukegan Rd, Lake Bluff, Illinois. You can contact this provider via phone number 8472959300 and fax number 8472959607. The mailing address for Lawrence A Short Dpm Ltd is 71 Waukegan Rd, Lake Bluff, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Organization Lawrence A Short Dpm Ltd
Address 71 Waukegan Rd, Lake Bluff, Illinois
Phone Number 8472959300
Fax Number 8472959607
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Short Alan Lawrence
Credentials DPM
Telephone Number 8472959300

NPI Number Detail

NPI Number 1669513982
Provider Enumeration Date 2007-02-09
Last Updated Date 2009-03-26

Provider Mailing Address Detail

Address 71 Waukegan Rd
City Lake Bluff
State Illinois (IL)
Post Code 600441662
Phone Number 8472959300
Fax Number 8472959607

Provider's Primary Taxonomy Detail

Speciality Podiatrist
Taxonomy 213E00000X
Licence No 16003095
Definition:
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
102466006 IL UNITED HEALTH CARE
60021233 IL BLUE CROSS BLUE SHIELD

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FAQs about Lawrence A Short Dpm Ltd

What is the unique provider identifier assigned to Lawrence A Short Dpm Ltd?

The Lawrence A Short Dpm Ltd has been issued the NPI (National Provider Identifier) 1669513982 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please share the complete physical location address where Lawrence A Short Dpm Ltd's facilities are situated?

The facilities of Lawrence A Short Dpm Ltd are physically located at the following address: 71 Waukegan Rd, Lake Bluff, IL, 600441662.

What is the Lawrence A Short Dpm Ltd's area of specialization and corresponding taxonomy classification?

The Lawrence A Short Dpm Ltd's specialty field is Podiatrist, and it falls under the taxonomy code 213E00000X, which categorizes healthcare providers based on their specialties.

On what date did the Lawrence A Short Dpm Ltd receive its 1669513982 assignment from the Centers for Medicare & Medicaid Services?

The Lawrence A Short Dpm Ltd was assigned its 1669513982 by the Centers for Medicare & Medicaid Services on 2007-02-09.

When was the information regarding Lawrence A Short Dpm Ltd most recently updated?

The details pertaining to the Lawrence A Short Dpm Ltd, including its address, specialty, and other relevant information, were last refreshed on 2009-03-26.

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