Deric Lords D P M A Professional Corporation in Placentia - Foot & Ankle Surgery

Deric Lords D P M A Professional Corporation - NPI 1275707622

Deric Lords D P M A Professional Corporation is a Foot & Ankle Surgery in Placentia, California. Deric Lords D P M A Professional Corporation practices all healthcare services and medical treatments related to Foot & Ankle Surgery. The NPI Number for Deric Lords D P M A Professional Corporation is 1275707622. The last update date is 2012-01-25.

Deric Lords D P M A Professional Corporation's current location address is 1310 N Kraemer Blvd, Placentia, California. You can contact this provider via phone number 7149967601 and fax number 7149960745. The mailing address for Deric Lords D P M A Professional Corporation is 1310 N Kraemer Blvd, Placentia, California. To know further, please read the information below!

Provider Profile Detail

Provider Organization Deric Lords D P M A Professional Corporation
Address 1310 N Kraemer Blvd, Placentia, California
Phone Number 7149967601
Fax Number 7149960745
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OFFICE MAN
Authorized Official Name Lords Anderson Deborah
Telephone Number 7149967601

NPI Number Detail

NPI Number 1275707622
Provider Enumeration Date 2008-04-16
Last Updated Date 2012-01-25

Provider Mailing Address Detail

Address 1310 N Kraemer Blvd
City Placentia
State California (CA)
Post Code 928703401
Phone Number 7149967601
Fax Number 7149960745

Provider's Primary Taxonomy Detail

Speciality Foot & Ankle Surgery
Taxonomy 213Es0103X
Licence No E2783
Definition:
A doctor of podiatric medicine who diagnoses and treats disorders and injuries to the foot, ankle and related structures.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
000E2783 CA --
E2783 CA MEDICARE ID

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FAQs about Deric Lords D P M A Professional Corporation

What is the unique 10-digit identification code assigned to Deric Lords D P M A Professional Corporation by the Centers for Medicare & Medicaid Services?

The Deric Lords D P M A Professional Corporation has been issued the NPI (National Provider Identifier) 1275707622, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Deric Lords D P M A Professional Corporation is physically located?

The Deric Lords D P M A Professional Corporation is situated at the following address: 1310 N Kraemer Blvd, Placentia, CA 928703401.

What is the area of specialization for Deric Lords D P M A Professional Corporation, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Deric Lords D P M A Professional Corporation is Foot & Ankle Surgery, and the corresponding taxonomy code that categorizes this area of expertise is 213Es0103X.

On what date was the 1275707622 assigned to Deric Lords D P M A Professional Corporation?

The Deric Lords D P M A Professional Corporation was issued its 1275707622 on 2008-04-16, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information pertaining to Deric Lords D P M A Professional Corporation most recently updated or revised?

The details related to Deric Lords D P M A Professional Corporation, including its address, specialty, and other relevant information, were last updated or revised on 2012-01-25.

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