# NORTHLAKE FOOT AND ANKLE INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205939303
- **Authorized official:** KENNETH QUICK (OWNER)
- **Authorized official phone:** (985) 727-3936

## Contact information

- **Practice address:** 233 ST ANN DR, SUITE 4, MANDEVILLE, LA 70471-3395
- **Practice address phone:** (985) 727-3936
- **Practice address fax:** (985) 727-3525
- **Mailing address:** 233 ST ANN DR, SUITE 4, MANDEVILLE, LA 70471-3395
- **Mailing address phone:** (985) 727-3936
- **Mailing address fax:** (985) 727-3525

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | LA | Yes |

## Other

- **Enumeration date:** 09/06/2006
- **Last updated:** 06/23/2014