Lakeside Foot Clinic, Pc in Cornelius - Podiatrist
Lakeside Foot Clinic, Pc - NPI 1184884777
Lakeside Foot Clinic, Pc is a Podiatrist in Cornelius, North Carolina. Lakeside Foot Clinic, Pc practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Lakeside Foot Clinic, Pc is 1184884777. The last update date is 2015-03-23.
Lakeside Foot Clinic, Pc's current location address is 19453 W Catawba Ave Ste A, Cornelius, North Carolina. You can contact this provider via phone number 7048923399 and fax number 7048925113. The mailing address for Lakeside Foot Clinic, Pc is 19453 W Catawba Ave Ste A, Cornelius, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Lakeside Foot Clinic, Pc |
|---|---|
| Address | 19453 W Catawba Ave Ste A, Cornelius, North Carolina |
| Phone Number | 7048923399 |
| Fax Number | 7048925113 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | SOLE PROPR |
|---|---|
| Authorized Official Name | Shimko Michael John |
| Credentials | DPM |
| Telephone Number | 7048923399 |
NPI Number Detail
| NPI Number | 1184884777 |
|---|---|
| Provider Enumeration Date | 2008-06-17 |
| Last Updated Date | 2015-03-23 |
Provider Mailing Address Detail
| Address | 19453 W Catawba Ave Ste A |
|---|---|
| City | Cornelius |
| State | North Carolina (NC) |
| Post Code | 280314022 |
| Phone Number | 7048923399 |
| Fax Number | 7048925113 |
Provider's Primary Taxonomy Detail
| Speciality | Podiatrist |
|---|---|
| Taxonomy | 213E00000X |
| Licence No | 270 |
|
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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 890816H | NC | -- | |
| 0816H | NC | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the Lakeside Foot Clinic, Pc's 1184884777?
The Lakeside Foot Clinic, Pc's NPI (National Provider Identifier) Number is 1184884777. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Lakeside Foot Clinic, Pc is physically located?
The Lakeside Foot Clinic, Pc is physically situated at the following address: 19453 W Catawba Ave Ste A, Cornelius, NC, 280314022.
What is the Lakeside Foot Clinic, Pc's specialty and taxonomy code?
The Lakeside Foot Clinic, Pc's specialty is Podiatrist, and the corresponding taxonomy code is 213E00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1184884777 to Lakeside Foot Clinic, Pc?
The Centers for Medicare & Medicaid Services assigned the 1184884777 to Lakeside Foot Clinic, Pc on 2008-06-17.
As of what date was the information regarding Lakeside Foot Clinic, Pc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Lakeside Foot Clinic, Pc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2015-03-23.