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Organization
MILLENNIUM FOOT AND ANKLE INSTITUTE PC
Active
Organization
MILLENNIUM FOOT AND ANKLE INSTITUTE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEKSANDER VALENTINOVICH LAVRENOV DPM (PRESIDENT)
(917) 687-7528
Entity
Organization
Contact information
Practice address
26235 RAVENHILL RD, SANTA CLARITA, CA 91387-4046
(917) 687-7528
Mailing address
26235 RAVENHILL RD, SANTA CLARITA, CA 91387-4046
(917) 687-7528
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
NULL
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Enumeration date
11/02/2020
Last updated
11/02/2020
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