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Organization
L.M. DEMIDOWICH PLLC
Active
Organization
L.M. DEMIDOWICH PLLC
Active
Other names
Northern Sun Podiatry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA MARIE DEMIDOWICH DPM (MEMBER)
(973) 464-7742
Entity
Organization
Contact information
Practice address
2286 CROSSWIND DR STE C, PRESCOTT, AZ 86301-6100
(973) 464-7742
Mailing address
PO BOX 27077, PRESCOTT VALLEY, AZ 86312-7077
(973) 464-7742
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
NULL
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Enumeration date
05/21/2019
Last updated
05/21/2019
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